延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
11期
228-229
,共2页
危重症患儿%肝素钠冲管%股静脉%留置针%穿刺方法
危重癥患兒%肝素鈉遲管%股靜脈%留置針%穿刺方法
위중증환인%간소납충관%고정맥%류치침%천자방법
Critical y il children%Heparin sodium flushing%Femoral vein%catheter%Puncture method
目的：探讨肝素钠冲管对危重症患儿股静脉留置针效果的影响。方法：将68例危重症患儿随机分为肝素钠组（31例）与对照组（37例）。肝素钠组给予10U/ml肝素钠生理盐水冲管后再进行股静脉留置针穿刺，对照组给予常规方法进行股静脉留置针穿刺。观察两组患儿股静脉留置针一次穿刺成功率及肢体肿胀发生率。结果：一次穿刺成功率肝素钠组为87%(27/31)，对照组为75%（28/37）；肢体肿胀发生率肝素钠组为3%（2/31），对照组为24%(9/37)。统计分析显示两组之间一次穿刺成功率无显著性差异(P=0.2329)，肢体肿胀发生率存在显著性差异（P＜0.05）。结论：肝素钠冲管可减少危重症患儿股静脉留置针穿刺后肢体肿胀发生率。
目的：探討肝素鈉遲管對危重癥患兒股靜脈留置針效果的影響。方法：將68例危重癥患兒隨機分為肝素鈉組（31例）與對照組（37例）。肝素鈉組給予10U/ml肝素鈉生理鹽水遲管後再進行股靜脈留置針穿刺，對照組給予常規方法進行股靜脈留置針穿刺。觀察兩組患兒股靜脈留置針一次穿刺成功率及肢體腫脹髮生率。結果：一次穿刺成功率肝素鈉組為87%(27/31)，對照組為75%（28/37）；肢體腫脹髮生率肝素鈉組為3%（2/31），對照組為24%(9/37)。統計分析顯示兩組之間一次穿刺成功率無顯著性差異(P=0.2329)，肢體腫脹髮生率存在顯著性差異（P＜0.05）。結論：肝素鈉遲管可減少危重癥患兒股靜脈留置針穿刺後肢體腫脹髮生率。
목적：탐토간소납충관대위중증환인고정맥류치침효과적영향。방법：장68례위중증환인수궤분위간소납조（31례）여대조조（37례）。간소납조급여10U/ml간소납생리염수충관후재진행고정맥류치침천자，대조조급여상규방법진행고정맥류치침천자。관찰량조환인고정맥류치침일차천자성공솔급지체종창발생솔。결과：일차천자성공솔간소납조위87%(27/31)，대조조위75%（28/37）；지체종창발생솔간소납조위3%（2/31），대조조위24%(9/37)。통계분석현시량조지간일차천자성공솔무현저성차이(P=0.2329)，지체종창발생솔존재현저성차이（P＜0.05）。결론：간소납충관가감소위중증환인고정맥류치침천자후지체종창발생솔。
Objectives:To evaluate the effect of heparin sodium flushing on femoral venous catheterization in critical y il children. Methods:68 critical y il children were randomly divided into the heparin sodium group (n=31)and the control group (n=37) . A 10U/ml heparin sodium flushing before femoral venous catheterization was performed in the heparin sodium group, while a routine method of femoral venous catheterization in the control group. The success rate of the first puncture of femoral venous catheter and the incidence of limb swel ing in two groups were measured. Results:The success rate of the first puncture was 87%(27/31) in the heparin sodium group, and 75% (28/37)in the control group. The incidence of limb swel ing was 3% (2/31) in the heparin sodium group, while 24%(9/37) in the control group. There was a significant difference in the incidence of limb swel ing between the two groups (P<0.05), while no significant dif-ference in the success rate of the first puncture (P=0.2329). Conclusions:The heparin sodium flushing may reduce the limb swel ing after femoral venous catheter-ization in critical y il children.
