中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
17期
14-15
,共2页
输液敷贴%无损伤缝针%缝针保管%缝针清点
輸液敷貼%無損傷縫針%縫針保管%縫針清點
수액부첩%무손상봉침%봉침보관%봉침청점
Infusion applicator%Needle without injury%Stitches custody%Needle inventory
目的探讨无菌输液敷贴在手术台上无损伤缝针保管的应用。方法由6名洗手护士分别采用纱布穿插法(对照组1)，针盒保管法（对照组2）和输液敷帖粘贴法（实验组）取放缝针实验操作各240次，再用三种方法和同一名巡回护士进行40颗缝针清点实验操作各30次(每人每种方法各5次)。结果对照组1（纱布组）失针率为9.17%，对照组2（针盒组）失针率为17.10%，实验组（敷帖组）失针率为0， P<0.01；对照组1（纱布组）40颗缝针清点平均时间为36s，对照组2（针盒组）平均时间为49s，实验组平均时间为20s，P<0.05，三组实验比较差异有统计学意义。结论对手术台上数量较多、体积较小的无损伤缝针采用无菌输液敷贴进行粘贴保管，可有效地预防术中缝针丢失或掉落，清点方便，减少因寻找缝针给患者和手术人员带来的种种不良影响，效果良好，取材简单，价格低廉，使用方便，值得推广。
目的探討無菌輸液敷貼在手術檯上無損傷縫針保管的應用。方法由6名洗手護士分彆採用紗佈穿插法(對照組1)，針盒保管法（對照組2）和輸液敷帖粘貼法（實驗組）取放縫針實驗操作各240次，再用三種方法和同一名巡迴護士進行40顆縫針清點實驗操作各30次(每人每種方法各5次)。結果對照組1（紗佈組）失針率為9.17%，對照組2（針盒組）失針率為17.10%，實驗組（敷帖組）失針率為0， P<0.01；對照組1（紗佈組）40顆縫針清點平均時間為36s，對照組2（針盒組）平均時間為49s，實驗組平均時間為20s，P<0.05，三組實驗比較差異有統計學意義。結論對手術檯上數量較多、體積較小的無損傷縫針採用無菌輸液敷貼進行粘貼保管，可有效地預防術中縫針丟失或掉落，清點方便，減少因尋找縫針給患者和手術人員帶來的種種不良影響，效果良好，取材簡單，價格低廉，使用方便，值得推廣。
목적탐토무균수액부첩재수술태상무손상봉침보관적응용。방법유6명세수호사분별채용사포천삽법(대조조1)，침합보관법（대조조2）화수액부첩점첩법（실험조）취방봉침실험조작각240차，재용삼충방법화동일명순회호사진행40과봉침청점실험조작각30차(매인매충방법각5차)。결과대조조1（사포조）실침솔위9.17%，대조조2（침합조）실침솔위17.10%，실험조（부첩조）실침솔위0， P<0.01；대조조1（사포조）40과봉침청점평균시간위36s，대조조2（침합조）평균시간위49s，실험조평균시간위20s，P<0.05，삼조실험비교차이유통계학의의。결론대수술태상수량교다、체적교소적무손상봉침채용무균수액부첩진행점첩보관，가유효지예방술중봉침주실혹도락，청점방편，감소인심조봉침급환자화수술인원대래적충충불량영향，효과량호，취재간단，개격저렴，사용방편，치득추엄。
Objective Discussion of sterile infusion application on the operating table damage suture needle-free application of custody. Method Six washing nurses used gauze insertion method(control group 1), needle-box, custody methods(control group 2) and infusion with paste method (experimental group) the fetching stitch experiment operations 240 times each, and then carried out 40 stitch count experiment operations 30 times in three ways with the same visiting nurse (per way and person 5 times).Results Control group 1(gauze group), needle loss rate for 9.17%;control group 2 (needle box group), needle loss rate for 17.10%;and the experimental group (compress group) needle loss rate for 0, P<0.01;control group 1 (gauze group) 40 stitch count average time for 36 seconds, control group 2 (needle box group) average time for 49 seconds, experimental group average time for 20 seconds, P<0.05. Three experimental comparison group differences are statistically signiifcant. Conclusions On the operating table more and smaller amounts of damage suture needle-free sterile infusion paste custody application, be effective in preventing stitch is lost or dropped on the operation;be convenient in inventory;reduce to ifnd sewing needles with all their negative consequences for patients and surgical staff;have good results;base on simple material selection;low cost;easy to use and worth promoting.
