CAJ | 학술논문

目的：探讨静脉留置针最佳的留置深度。方法将在本科同期住院的200例需行静脉留置针穿刺的患者随机分为2组，对照组将留置针外套管完全置入后固定；观察组将留置针外套管置入时外露1～2mm 后固定；分别观察2组患者留置针留置期间的输液通畅度、静脉炎发生率、留置时间以及患者满意度。结果观察组患者留置针的通畅程度在第2天、第3天高于对照组（P ＜0．05）；观察组患者静脉留置针的留置时间明显长于对照组（P ＜0．05）；观察组患者Ⅰ度静脉炎的发生率低于对照组，（P ＜0．05）；观察组患者对留置针的满意率明显高于对照组，比较差异均具有统计学意义（P ＜0．05）。结论静脉留置针留置时外套管外露1～2mm 再固定可以有效改善输液的通畅度，延长静脉留置针使用时间，提高患者对使用留置针的满意度。
목적：탐토정맥류치침최가적류치심도。방법장재본과동기주원적200례수행정맥류치침천자적환자수궤분위2조，대조조장류치침외투관완전치입후고정；관찰조장류치침외투관치입시외로1～2mm 후고정；분별관찰2조환자류치침류치기간적수액통창도、정맥염발생솔、류치시간이급환자만의도。결과관찰조환자류치침적통창정도재제2천、제3천고우대조조（P ＜0．05）；관찰조환자정맥류치침적류치시간명현장우대조조（P ＜0．05）；관찰조환자Ⅰ도정맥염적발생솔저우대조조，（P ＜0．05）；관찰조환자대류치침적만의솔명현고우대조조，비교차이균구유통계학의의（P ＜0．05）。결론정맥류치침류치시외투관외로1～2mm 재고정가이유효개선수액적통창도，연장정맥류치침사용시간，제고환자대사용류치침적만의도。
Objective To explore the effect of venous indwelling needle’s different indwelling depths.Methods 200 cases of inpatients who needed venous indwelling needle were randomly divided into two group,namely control group,observation group.In control group,the outer casing of venous indwelling needle were fixed after completely implanted.In observation group,the outer casing of venous indwelling nee-dle were fixed with 1 ~2 mm exposed.Compare the unobstructed degree of transfusion,the incidence of phlebitis,indwelling time and pa-tients’satisfaction.Results The observation group’s unobstructed degree of transfusion in the second day and the third day is better than that of the control group(P <0.05).The indwelling time of observation group is longer than that of control group.(P <0.05).The incidence rate of grade one phlebitis in observation group is lower than that in control group(P <0.05).Patients of observation group have higher satis-faction than patients in control group(P <0.05).Conclusion The method that outer casing of venous indwelling needle is fixed with 1 ~2 mm exposed can improve the unobstructed degree of transfusion,extends the indwelling time and finally improve patients’satisfaction.