磺胺嘧啶银冷霜外敷与50%硫酸镁湿敷治疗碘对比剂外渗的效果比较
Nursing of Integrated Traditional Chinese and Western Medicine(2019)
Abstract
目的 对比磺胺嘧啶银冷霜外敷与50%硫酸镁湿敷治疗碘对比剂外渗的效果.方法选取88例行CT增强扫描发生碘对比剂外渗的患者,按严重程度分层,然后按照治疗方法分为2组.研究组44例给予磺胺嘧啶银冷霜外敷,对照组44例给予50%硫酸镁湿敷.治疗后48h观察局部肢体疼痛和肿胀程度,评价干预效果.结果 轻度外渗患者中,研究组痊愈率100.00%(25/25),对照组痊愈率92.00%(23/25),2组差异无统计学意义(P>0.05);中度外渗患者中,研究组痊愈率89.47%(17/19),高于对照组的68.42%(13/19),差异有统计学意义(P<0.05).对照组4例患者出现皮肤水泡.结论 磺胺嘧啶银冷霜外敷能有效促进碘对比剂外渗导致的皮肤组织肿胀消退,缓解疼痛,在治疗中度外渗患者中优势较50%硫酸镁湿敷明显.
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Key words
silver sulfadiazine,magnesium sulfate,contrast media,dressing,swelling,pain
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