CAJ | 학술논문

目的探讨不同浓度肝素钠溶液封管与锁骨下静脉留置管堵塞关系.方法对进行锁骨下静脉穿刺置管术的肿瘤患者共889例,分A、B两组进行观察,A组在输液前后用肝素钠盐水(50μ/ml)5 ml冲管,B组肿瘤患者输液前后用肝素钠盐水(125μ/ml)5 ml冲管,两者均采用正压封管.统计学方法采用x2检验.结果 A组导管堵塞发生率为5.55%,B组导管堵塞发生率为1.13%,两者比较有显著性差异(P＜0.01).结论应用不同浓度肝素钠溶液冲管与导管堵塞有关系,研究结果表明,用肝素钠盐水(125μ/ml)5 ml冲管能有效降低导管堵塞发生率.
목적 탐토불동농도간소납용액봉관여쇄골하정맥류치관도새관계.방법 대진행쇄골하정맥천자치관술적종류환자공889례,분A、B량조진행관찰,A조재수액전후용간소납염수(50μ/ml)5 ml충관,B조종류환자수액전후용간소납염수(125μ/ml)5 ml충관,량자균채용정압봉관.통계학방법채용x2검험.결과 A조도관도새발생솔위5.55%,B조도관도새발생솔위1.13%,량자비교유현저성차이(P＜0.01).결론 응용불동농도간소납용액충관여도관도새유관계,연구결과표명,용간소납염수(125μ/ml)5 ml충관능유효강저도관도새발생솔.
Objective To investigate the relationship of sealing catheter with different concentration of heparin sodium and obstruction after percutaneous insertion of subclavian venous catheters.Methods A total of 889 cases of tumor with percutaneous insertion of subclavian venous catheters were individed into two groups, group A was flushed with (50 U/ml) 5 ml heparin sodium before and after infusion,and group B were flushed with (50 U/ml) 5 ml heparin sodium before and after infusion.Results 5.55% (25/889) of catheter obstruction in group A were occurred and 1.13% (5/889) of catheter obstruction in group B were occurred, there wss signification difference between the two groups (P ＜0.05) .Conclusions There is an obvious relationship of sealing catheter with different concentration of heparin sodium and obstruction after percutaneous insertion of subclavian venous catheters.Flushing catheter with 125 U/ml heparin sodium can reduce thecatheter obstruction rate effectively.