CAJ | 학술논문

目的：探讨使用静脉留置针的肝硬化患者采用输液器内丹参冻干稀释液进行正压封管的效果。方法将201例使用静脉留置针的肝硬化患者采用随机数字表法分为3组，每组各67例。对照组采用传统方法肝素液5 ml（50 U/ml）进行正压封管；观察1组采用丹参冻干稀释液5 ml进行正压封管；观察2组采用正在输液的丹参冻干稀释液约5 ml（4 mg/ml）直接进行正压封管。比较3组患者置管前和拔管后凝血功能、堵管率、出血倾向、静脉炎发生率和平均封管时间。结果对照组、观察1组、观察2组堵管率分别为6．2％，10．8％，7．6％，出血倾向发生率分别为12．3％，6．2％，13．8％，静脉炎发生率分别为9．2％，4．6％，7．7％，3组比较差异均无统计学意义（χ2值分别为0．83，0．40，0．48；P＞0．05）。对照组、观察1组、观察2组患者拔针后凝血酶原时间（PT）分别为（18．16±4．82），（17．64±3．96），（17．28±3．89）s，3组比较差异无统计学意义（F＝0．71，P＞0．05）。观察1组平均封管时间为（49．26±4．78）s，观察2组为（33．41±3．91）s，差异有统计学意义（t＝40．66，P＜0．01）。结论3种静脉留置针封管方法均安全有效，采用输液器内治疗的中药丹参冻干稀释液直接进行正压封管，优化护理流程，减轻患者、家属及社会的经济负担，值得临床推广。
목적：탐토사용정맥류치침적간경화환자채용수액기내단삼동간희석액진행정압봉관적효과。방법장201례사용정맥류치침적간경화환자채용수궤수자표법분위3조，매조각67례。대조조채용전통방법간소액5 ml（50 U/ml）진행정압봉관；관찰1조채용단삼동간희석액5 ml진행정압봉관；관찰2조채용정재수액적단삼동간희석액약5 ml（4 mg/ml）직접진행정압봉관。비교3조환자치관전화발관후응혈공능、도관솔、출혈경향、정맥염발생솔화평균봉관시간。결과대조조、관찰1조、관찰2조도관솔분별위6．2％，10．8％，7．6％，출혈경향발생솔분별위12．3％，6．2％，13．8％，정맥염발생솔분별위9．2％，4．6％，7．7％，3조비교차이균무통계학의의（χ2치분별위0．83，0．40，0．48；P＞0．05）。대조조、관찰1조、관찰2조환자발침후응혈매원시간（PT）분별위（18．16±4．82），（17．64±3．96），（17．28±3．89）s，3조비교차이무통계학의의（F＝0．71，P＞0．05）。관찰1조평균봉관시간위（49．26±4．78）s，관찰2조위（33．41±3．91）s，차이유통계학의의（t＝40．66，P＜0．01）。결론3충정맥류치침봉관방법균안전유효，채용수액기내치료적중약단삼동간희석액직접진행정압봉관，우화호리류정，감경환자、가속급사회적경제부담，치득림상추엄。
Objective To explore the effect of positive pressure sealing intravenous indwelling catheter in the hepatocirrhosis patients by the Salvia lyophilized dilution in the apparatus infusionis .Methods Two hundred and one hepatocirrhosis patients with intravenous indwelling catheter were chosen and divided into three groups according to the random number table , each with 67 cases.The control group received the traditional positive pressure sealing tube through heparin solution (5 ml, 50 U/ml), and the test group 1 received the positive pressure sealing tube through Salvia lyophilized dilution (5 ml), and the test group 2 received the direct positive pressure sealing tube through the Salvia lyophilized dilution ( 5 ml, 4 mg/ml ) in the apparatus infusionis.The coagulation function, the rate of jamming, bleeding tendency, incidence rate and the average time of sealing tube of phlebitis were compared among three groups before the indwelling catheter and after the extubation catheter .Results The rates of jamming were respectively 6.2%, 10.8% and 7.6% in the control group, the test group 1 and 2, and the incidence rates of bleeding tendency were respectively 12.3%, 6.2%, and 13.8%, the incidence rates of phlebitis were respectively 9.2%, 4.6% and 7.7%, and the differences were not statistically significant (χ2 =0.83, 0.40, 0.48, respectively;P>0.05).The prothrombin time were respectively (18.16 ±4.82)s, (17.64 ±3.96)s, (17.28 ±3.89)s in the control group, the test group 1 and 2, and the differences were not statistically significant (F=0.71,P>0.05).The average time of sealing tube was (49.26 ±4.78)s in the test group 1, and was (33.41 ±3.91)s in the test group 2, and the difference was statistically significant (t=40.66,P <0.01).Conclusions Three kinds of methods of sealing intravenous indwelling catheter are safe and effective .The application of the direct positive pressure sealing tube through the Salvia lyophilized dilution in the apparatus infusionis can optimize nursing process , and relieve the economic burden of patients , their families and the society , and is worthy of the clinical promotion .