绿茶水调金黄散外敷治疗胺碘酮所致静脉炎的效果

1、    绿茶水调金黄散外敷治疗胺碘酮所致静脉炎的效果    黄鸣 楼娟摘要目的 探讨绿茶水调金黄散外敷治疗胺碘酮所致静脉炎的效果。方法 选取2016年12月2018年4月我科收治的60例因使用胺碘酮所致静脉炎患者作为研究对象，按照随机数字表法分为实验组（30例）与对照组（30例）。实验组患者予以绿茶水调制金黄散成药膏状敷于患处，对照组患者则给予以50%硫酸镁湿敷于患处。观察两组静脉炎患者用药后患处红、肿、胀、痛等症状的改善情况，比较两组患者的局部疼痛缓解时间以及红肿消退时间，并统计比较两组患者的治疗总有效率。结果 实验组患者的总有效率为96.67%，高于

2、对照组的70.00%，差异有统计学意义（p<0.05）。实验组患者的局部疼痛缓解时间以及红肿消退时间均短于对照组，差异有统计学意义（p关键词静脉炎；胺碘酮；金黄散；治疗效果 r543.6 a 1674-4721（2019）5（b）-0200-03abstract objective to explore the effect of external application of jinhuang powder adjusted with green tea in the treatment of phlebitis induced by amiodarone. methods from

3、december 2016 to april 2018， 60 patients with phlebitis caused by amiodarone in our department were selected as the study subjects. the patients were divided into the experimental group （30 cases） and the control group （30 cases） by the random number table method. the patients in the experimental gr

4、oup were treated with green tea and jinhuang powder as ointment， and the patients in the control group were treated with 50% magnesium sulfate. the improvement of the symptoms of redness， swelling， distending， pain and so on in the patients with phlebitis after taking medicine in the two groups were

5、 observed， the time of local pain relief and redness and swelling regression between the two groups were compared， and the total effective rate was compared between the two groups. results the total effective rate of the experimental group was 96.67%， which was higher than 70.00% of the control grou

6、p， the difference was statistically significant （pkey words phlebitis； amiodarone； jinhuang powder； therapeutic effect胺碘酮属于广谱抗心律失常药物，其临床作用以类药物作用为主，同时也兼具、类抗心律失常药物的电生理作用。研究显示，胺碘酮对各类室上性及室性快速性心动过速均有较好的治疗效果，能有效预防心房颤动及心室颤动的发生，在临床上使用广泛1。胺碘酮的ph值为2.54.0，具有较高的渗透压，容易损伤血管内皮，造成静脉炎2。据文献报道3，经外周静脉持续泵入胺碘酮的静脉炎发生率高达88.2%。临床上泵注胺碘酮发生静脉炎后，不仅增加患者痛苦，还延长了住院时间，加重了患者经济负担，甚至部分进一步发展成深静脉栓塞、败血症等严重并发症4。目前，选用50%硫酸镁湿敷外渗部位仍是比较公认的治疗静脉炎的方法5，但硫酸镁湿敷易析出结晶而影响药物吸收和治疗效果，另外