中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
156-157
,共2页
静脉留置针%静脉炎%肝素钠乳膏
靜脈留置針%靜脈炎%肝素鈉乳膏
정맥류치침%정맥염%간소납유고
Intravenous indwelling needle%Phlebitis%Heparin sodium cream
目的:探讨肝素钠乳膏预防静脉留置针所致静脉炎的疗效。方法:选择经外周静脉留置针进行静脉高营养输注的患者70例为研究对象,按就诊顺序将其分为观察组和对照组,各35例。两组均采用22G 静脉留置针行静脉穿刺,观察组在穿刺后予针孔周围约2 cm用无菌条件下涂抹少量的肝素钠软膏,并覆盖无菌敷贴。对照组穿刺成功后只予以无菌敷贴覆盖。两组患者均选择上肢头静脉为穿刺部位,输液完毕常规予以肝素盐水封管。观察两组患者治疗后静脉炎的发生率,并比较静脉留置针留置时间。结果:观察组静脉留置针发生静脉炎的机率明显低于对照组(χ2=6.87,P<0.01)。观察组静脉留置针留置时间明显较对照组长(χ2=13.39,P<0.01)。结论:肝素钠软膏预防静脉留置针所致静脉炎疗效良好,可减少静脉炎的发生率和疼痛程度,延长其静脉留置时间。
目的:探討肝素鈉乳膏預防靜脈留置針所緻靜脈炎的療效。方法:選擇經外週靜脈留置針進行靜脈高營養輸註的患者70例為研究對象,按就診順序將其分為觀察組和對照組,各35例。兩組均採用22G 靜脈留置針行靜脈穿刺,觀察組在穿刺後予針孔週圍約2 cm用無菌條件下塗抹少量的肝素鈉軟膏,併覆蓋無菌敷貼。對照組穿刺成功後隻予以無菌敷貼覆蓋。兩組患者均選擇上肢頭靜脈為穿刺部位,輸液完畢常規予以肝素鹽水封管。觀察兩組患者治療後靜脈炎的髮生率,併比較靜脈留置針留置時間。結果:觀察組靜脈留置針髮生靜脈炎的機率明顯低于對照組(χ2=6.87,P<0.01)。觀察組靜脈留置針留置時間明顯較對照組長(χ2=13.39,P<0.01)。結論:肝素鈉軟膏預防靜脈留置針所緻靜脈炎療效良好,可減少靜脈炎的髮生率和疼痛程度,延長其靜脈留置時間。
목적:탐토간소납유고예방정맥류치침소치정맥염적료효。방법:선택경외주정맥류치침진행정맥고영양수주적환자70례위연구대상,안취진순서장기분위관찰조화대조조,각35례。량조균채용22G 정맥류치침행정맥천자,관찰조재천자후여침공주위약2 cm용무균조건하도말소량적간소납연고,병복개무균부첩。대조조천자성공후지여이무균부첩복개。량조환자균선택상지두정맥위천자부위,수액완필상규여이간소염수봉관。관찰량조환자치료후정맥염적발생솔,병비교정맥류치침류치시간。결과:관찰조정맥류치침발생정맥염적궤솔명현저우대조조(χ2=6.87,P<0.01)。관찰조정맥류치침류치시간명현교대조조장(χ2=13.39,P<0.01)。결론:간소납연고예방정맥류치침소치정맥염료효량호,가감소정맥염적발생솔화동통정도,연장기정맥류치시간。
Objective:To explore the curative effect of heparin sodium cream in the prevention of phlebitis caused by intravenous indwelling needle.Methods:70 patients with peripheral venous indwelling needle for intravenous infusion of high nutritional were selected as the research objects.According to the seeing a doctor order,the patients were divided into the observation group and the control group with 35 cases in each.They were all used 22G venous indwelling needle for venipuncture.The observation group was smeared a small amount of heparin sodium ointment with sterile conditions on pinhole around approximately 2 cm after puncture,and covered with sterile dressing.The control group was only given sterile dressing cover after successful puncture.The patients in two groups were selected upper limb cephalic vein as the siteofparacentesis,regularly given heparin saline sealing tube after infusion.The incidence rate of phlebitis after treatment of patients in two groups were compared,and the venous indwelling needle indwelling times were compared.Results:The probability of venous indwelling needle phlebitis of the observation group was obviously lower than that of the control group(χ2=6.87,P<0.01).The venous indwelling needle indwelling time of the observation group was obviously longer than that of the control group( χ 2=13.39,P<0.01).Conclusion:The heparin sodium cream in the prevention of phlebitis caused by intravenous indwelling needle has good effect.It can reduce the incidence rate of phlebitis and pain degree,and extend the venous indwelling time.