中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
22期
73-75
,共3页
静脉留置针%常见问题%护理对策
靜脈留置針%常見問題%護理對策
정맥류치침%상견문제%호리대책
Venous indwelling needle%Common problems%Nursing countermeasure
目的：总结静脉留置针输液过程的常见问题，制定针对性护理对策。方法：选取本院住院期间应用静脉留置针进行输液治疗的120例患者，观察静脉留置针的留置时间、穿刺部位、液体性质、封管液及封管方式与常见问题的关系。结果：静脉炎发生率，静脉留置针留置5 d以上（55%）明显高于5 d以内；以关节活动部位为穿刺点明显高于非关节部位；静滴等渗液体明显低于静滴高渗液体，差异均有统计学意义（P<0.05）。关节部位的留置针发生液体渗漏的机会明显高于非关节活动部位；采用0.9%氯化钠注射液+肝素盐水稀释液进行封管，其发生留置针导管堵塞的机会明显低于单用；采用正压封管的患者，其留置针导管堵塞的发生率明显低于采用负压封管，差异均有统计学意义（P<0.05）。结论：正确选择穿刺部位、熟练运用穿刺技术、合理应用封管方式能够最大限度地降低静脉留置针输液过程中的问题发生率。
目的：總結靜脈留置針輸液過程的常見問題，製定針對性護理對策。方法：選取本院住院期間應用靜脈留置針進行輸液治療的120例患者，觀察靜脈留置針的留置時間、穿刺部位、液體性質、封管液及封管方式與常見問題的關繫。結果：靜脈炎髮生率，靜脈留置針留置5 d以上（55%）明顯高于5 d以內；以關節活動部位為穿刺點明顯高于非關節部位；靜滴等滲液體明顯低于靜滴高滲液體，差異均有統計學意義（P<0.05）。關節部位的留置針髮生液體滲漏的機會明顯高于非關節活動部位；採用0.9%氯化鈉註射液+肝素鹽水稀釋液進行封管，其髮生留置針導管堵塞的機會明顯低于單用；採用正壓封管的患者，其留置針導管堵塞的髮生率明顯低于採用負壓封管，差異均有統計學意義（P<0.05）。結論：正確選擇穿刺部位、熟練運用穿刺技術、閤理應用封管方式能夠最大限度地降低靜脈留置針輸液過程中的問題髮生率。
목적：총결정맥류치침수액과정적상견문제，제정침대성호리대책。방법：선취본원주원기간응용정맥류치침진행수액치료적120례환자，관찰정맥류치침적류치시간、천자부위、액체성질、봉관액급봉관방식여상견문제적관계。결과：정맥염발생솔，정맥류치침류치5 d이상（55%）명현고우5 d이내；이관절활동부위위천자점명현고우비관절부위；정적등삼액체명현저우정적고삼액체，차이균유통계학의의（P<0.05）。관절부위적류치침발생액체삼루적궤회명현고우비관절활동부위；채용0.9%록화납주사액+간소염수희석액진행봉관，기발생류치침도관도새적궤회명현저우단용；채용정압봉관적환자，기류치침도관도새적발생솔명현저우채용부압봉관，차이균유통계학의의（P<0.05）。결론：정학선택천자부위、숙련운용천자기술、합리응용봉관방식능구최대한도지강저정맥류치침수액과정중적문제발생솔。
Objective:To summarize the common problems in transfusion process of venous indwelling needle,and to develop strategies for nursing care.Method:120 patients used venous indwelling needle in our hospital were selected randomly. The indexes of retaining time of intravenous indwelling needle,choice of the puncture site,the liquid nature,the interaction of different sealing liquid and different sealing methods in the infusion process were observed and recorded.Result:The rate of occurrence of phlebitis reached to 55%when venous indwelling needle for more than 5 days,it was significantly higher than that within 5 days(P<0.05).The incidence of phlebitis were significantly higher than those in non joint puncture point(P<0.05). The incidence of phlebitis of intravenous infusion of isotonic fluids was significantly lower than that of intravenous infusion of hypertonic liquid(P<0.05). To the joint needle,the opportunity of infusion leakage occurring during fluid infusion was significantly higher than that of joint parts of the indwelling needle(P<0.05).Conclusion:Based on the puncture site selection,puncture technique,skilled use of sealing methods of reasonable application and appropriate health education,it can minimize the occurrence of common problem transfusion process of venous indwelling needle.
