威伐光防治经外周静脉置入中心静脉导管术相关机械性静脉炎的临床疗效观察

目的探讨威伐光(Water-filtered infrared-A,w IRA)防治经外周静脉置入中心静脉导管术(PICC)相关机械性静脉炎的临床效果。方法招募来源于胜利油田中心医院住院治疗的90例患者,随机分为对照组和治疗组,每组各45例。对照组给予PICC术后常规护理,治疗组在常规护理基础上给予威伐光照射治疗。记录两组患者一般临床资料及疼痛VAS评分,用χ~2检验或Fisher精确概率法比较两组机械性静脉炎的发生率。结果对照组机械性静脉炎发生率为17.8%,而治疗组仅为2.2%(P=0.038)。治疗组患者的PICC术后疼痛VAS评分下降明显。结论早期给予wIRA照射治疗可有效防治PICC相关静脉炎的发生。

Therapeutic effect of wIRA on the prevention and treatment of mechanical phlebitis associated with peripheral vein catheterization

Objective To investigate the clinical efficacy of water-filtered infrared-A(wIRA) in preventing and treating peripheral venous catheter (PICC)-related mechanical phlebitis.Methods 90 patients were recruited from Shengli Oilfield Central Hospital. They were randomly divided into control group and treatment group, with 45 cases in each group.The control group was given routine care after PICC, and the treatment group was given water-filtered infrared A therapy on the basis of routine care. The general clinical data and pain VAS scores in two groups were recorded. The incidence of mechanical phlebitis was compared between the two groups by Chi-square test or Fisher''s exact probability method.Results The incidence of mechanical phlebitis was 17.8% in the control group and 2.2% in the treatment group(P=0.038). The VAS scores of pain after PICC in the treatment group decreased significantly. Conclusion Early treatment with wIRA can effectively prevent the occurrence of PICC related phlebitis.