CAJ | 학술논문

目的探讨优化浅静脉留置针的固定方法.方法对2008年10月至2010年12月在PICU中所有使用上肢静脉留置针输液的患儿367例,分别采用改良后的无张力封闭式固定法和传统固定法进行前瞻性研究,详细记录研究期间采用不同固定方法留置针透明贴膜卷边、脱落及留置针脱出发生率的临床资料,并对资料进行统计分析.结果观察组透明敷贴卷边、脱落及留置针脱出的发生率明显低于对照组(P＜0.01).结论采用无张力封闭式固定法可防止透明敷贴卷边、脱落,延长使用时间,减少留置针的脱出和贴膜对局部皮肤的拉力性损伤的发生,延长留置针的保留时间.
목적 탐토우화천정맥류치침적고정방법.방법 대2008년10월지2010년12월재PICU중소유사용상지정맥류치침수액적환인367례,분별채용개량후적무장력봉폐식고정법화전통고정법진행전첨성연구,상세기록연구기간채용불동고정방법류치침투명첩막권변、탈락급류치침탈출발생솔적림상자료,병대자료진행통계분석.결과 관찰조투명부첩권변、탈락급류치침탈출적발생솔명현저우대조조(P＜0.01).결론 채용무장력봉폐식고정법가방지투명부첩권변、탈락,연장사용시간,감소류치침적탈출화첩막대국부피부적랍력성손상적발생,연장류치침적보류시간.
Objective To investigate the optimization of superficial venous catheter fixation.Methods From October 2008 to December 2010 using the upper limbs in all PICU intravenous catheter infusion of 367 cases were in children after modified tension-free closed-end fixed and traditional fixation prospective study,a detailed record of using different fixation methods during the catheter transparent foil curling,loss caused by the incidence of catheter prolapse clinical data,and data for statistical analysis.Results The transparent dressing curling,falhng walls catheter prolapse were significantly lower than those of the control group (P ＜ 0.01).Conclusions The tension-free fixation of closed transparent applicator prevents curling,loss,extend the time to reduce catheter extrusion and foil tension on the local skin injuries and prolong the retention time of catheter