国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2010年
11期
1752-1754
,共3页
皮下隧道%股静脉穿刺%颅脑损伤%护理
皮下隧道%股靜脈穿刺%顱腦損傷%護理
피하수도%고정맥천자%로뇌손상%호리
Subcutaneous tunnel%Femoral vein puncture%Craniccerebral trauma%Nursing
目的 观察经皮下隧道股静脉穿刺置管用于重型颅脑损伤患者在减少导管并发症及导管相关性感染方面的效果.方法 将 139例重型颅脑损伤所致昏迷患者随机分为两组,观察组(n=70)采用经皮下隧道股静脉穿刺置管法建立静脉通道;对照组(n=69)采用传统股静脉穿刺置管法.两组均实施预防性护理措施.观察导管阻塞、脱落、导管相关性感染等并发症以及留管时间.结果 观察组留管时间长于对照组,导管脱落及相关性感染较对照组少,差异有显著性(P＜0.05或P＜0.01).而导管阻塞的发生两组无差异(P＞0.05).结论 经皮下隧道股静脉穿刺置管配合预防性护理措施能有效降低导管并发症特别是导管相关性感染的发生率,延长留管时间,适合需长时间保留静脉通道的患者.
目的 觀察經皮下隧道股靜脈穿刺置管用于重型顱腦損傷患者在減少導管併髮癥及導管相關性感染方麵的效果.方法 將 139例重型顱腦損傷所緻昏迷患者隨機分為兩組,觀察組(n=70)採用經皮下隧道股靜脈穿刺置管法建立靜脈通道;對照組(n=69)採用傳統股靜脈穿刺置管法.兩組均實施預防性護理措施.觀察導管阻塞、脫落、導管相關性感染等併髮癥以及留管時間.結果 觀察組留管時間長于對照組,導管脫落及相關性感染較對照組少,差異有顯著性(P＜0.05或P＜0.01).而導管阻塞的髮生兩組無差異(P＞0.05).結論 經皮下隧道股靜脈穿刺置管配閤預防性護理措施能有效降低導管併髮癥特彆是導管相關性感染的髮生率,延長留管時間,適閤需長時間保留靜脈通道的患者.
목적 관찰경피하수도고정맥천자치관용우중형로뇌손상환자재감소도관병발증급도관상관성감염방면적효과.방법 장 139례중형로뇌손상소치혼미환자수궤분위량조,관찰조(n=70)채용경피하수도고정맥천자치관법건립정맥통도;대조조(n=69)채용전통고정맥천자치관법.량조균실시예방성호리조시.관찰도관조새、탈락、도관상관성감염등병발증이급류관시간.결과 관찰조류관시간장우대조조,도관탈락급상관성감염교대조조소,차이유현저성(P＜0.05혹P＜0.01).이도관조새적발생량조무차이(P＞0.05).결론 경피하수도고정맥천자치관배합예방성호리조시능유효강저도관병발증특별시도관상관성감염적발생솔,연장류관시간,괄합수장시간보류정맥통도적환자.
Objective To observe the clinical effect of subcutaneous tunnel of femoral vein puncture used for patients with severe craniocerebral trauma to reduce related infection and complications caused by the canal.Methods A total of 139 unconscious severe craniocerebral injured patients were divided into two groups in random: observation group ( n = 70) and control group ( n =69) .The patients in observation group were set up a vein routeway through subcutaneous tunnel of femoral vein puncture, while patients in the control group were set up a vein routeway through tradition-al femoral vein puncture.The complications of canal shedding, related infection and the puncture place infection and the time of retuning the canal were observed.Results The retaining canal time of observation group was longer than that of the control group, and the puncture place infection of the observation group was less than that of the control group.The difference was very remarkable (P ＜ 0.05 or P ＜ 0.01 ).But the occurrence rate of canal blocking of the two groups had no difference ( P ＞ 0.05 )Conclusions The occurrence rate of syndrome of canal especially canal related infection can be reduced and the retaining canal time can be extended by means of setting up vein routeway through subcutaneous tunnel of femoral vein puncture plus prophylactic nursing intervention.The method can be applied to the patients in need of long-term keeping transfusing passage.
