【摘要】 目的 探讨中药膏剂外敷治疗外周静脉导管相关静脉炎的临床疗效。方法 选取2022年3月至10月于潍坊医学院附属高密市人民医院住院治疗的静脉炎患者148例，根据随机数字表法将纳入患者分为对照组和治疗组，每组各74例。对照组患者使用50%硫酸镁溶液湿敷，治疗组患者使用中药膏剂外敷。比较两组患者治疗前后的C反应蛋白（C-reactive protein,CRP）、疼痛数字评分量表（numerical rating scale,NRS）评分。评价两组患者的临床疗效和治疗安全性。结果 治疗组患者的痊愈率和总有效率均显著高于对照组（P<0.05）；治疗组患者的痊愈时间显著短于对照组[（41.2±11.8）h vs.（61.5±14.6）h,t=7.950,P=0.007]。治疗后，两组患者的CRP水平、NRS评分均显著低于本组治疗前（P<0.05），且治疗组患者的CRP水平、NRS评分均显著低于对照组（P<0.05）。结论 中药膏剂外敷治疗外周静脉导管相关静脉炎，能显著改善其临床症状，降低血清炎症因子水平，疗效确切。更多还原

【Abstract】 Objective To investigate the clinical effect of topical application of traditional Chinese medicine plaster on peripheral intravenous cathete-related phlebitis. Methods A total of 148 patients with phlebitis hospitalized in Gaomi People’s Hospital Affiliated to Weifang Medical University from March to October 2022 were selected and divided into control group and treatment group according to random number table method, with 74 cases in each group. The control group was wet compress with 50% magnesium sulfate solution, and the treatment group was topical application with traditional Chinese medicine plaster.C-reactive protein(CRP) and scores of numerical rating scale(NRS) before and after treatment were compared between the two groups. The clinical efficacy and treatment safety of the two groups were evaluated. Results The recovery rate and total effective rate of treatment group were significantly higher than those of control group(P<0.05). The recovery time of treatment group was significantly shorter than that of control group [(41.2±11.8)h vs.(61.5±14.6)h, t=7.950, P=0.007]. After treatment, CRP level and NRS score in two groups were significantly lower than before treatment(P<0.05). The CRP level and NRS score in treatment group were significantly lower than those in control group(P<0.05). Conclusion The treatment of peripheral intravenous cathete-related phlebitis by topical application of traditional Chinese medicine plaster can significantly improve the clinical symptoms and reduce the level of serum inflammatory factors, and has a definite effect.更多还原