CAJ | 학술논문

目的：探讨Q-Syte分隔膜密闭式无针接头在经外周静脉穿刺置入中心静脉导管（peripherally inserted central catheter， PICC）血液病患儿输液中的应用效果。方法采用随机数字表法将患儿分为观察组和对照组，每组各260例，观察组采用Q-syte分隔膜密闭式无针接头，对照组采用普通肝素帽接头。比较两组患儿置管期间管腔回血、管腔堵管、导管相关性感染及接头与输液器脱开率情况。结果两组各项观察指标发生率比较，均P<0.05，差异具有统计学意义，观察组患儿PICC置管期间管腔回血、管腔堵管、导管相关性感染及接头与输液器脱开发生率明显低于对照组。结论 Q-syte分隔膜密闭式安全接头PICC在血液病患儿输液中应用，可以降低置管期间管腔回血、管腔堵管、导管相关性感染率，其操作简便安全，值得临床推广应用。
목적：탐토Q-Syte분격막밀폐식무침접두재경외주정맥천자치입중심정맥도관（peripherally inserted central catheter， PICC）혈액병환인수액중적응용효과。방법채용수궤수자표법장환인분위관찰조화대조조，매조각260례，관찰조채용Q-syte분격막밀폐식무침접두，대조조채용보통간소모접두。비교량조환인치관기간관강회혈、관강도관、도관상관성감염급접두여수액기탈개솔정황。결과량조각항관찰지표발생솔비교，균P<0.05，차이구유통계학의의，관찰조환인PICC치관기간관강회혈、관강도관、도관상관성감염급접두여수액기탈개발생솔명현저우대조조。결론 Q-syte분격막밀폐식안전접두PICC재혈액병환인수액중응용，가이강저치관기간관강회혈、관강도관、도관상관성감염솔，기조작간편안전，치득림상추엄응용。
Objective To explore the effect of Q-Syte separated membrane sealed without pin connector in children with blood disease. Methods Using random digit table, the children using Q-Syte separation membrane enclosed needle-free connector and heparin cap were divided into the observation group and the control group with 260 children in each group. The two groups were compared in terms of the incidence of using Q-Syte membrane closure cap pin connector and heparin. Results The result showed a significant positive relation between the two groups (P<0.05). The incidence of using Q-Syte separation membrane sealed without pin connector was lower than that of the control group. Conclusion Q-Syte separation membrane sealed without pin connector can reduce the incidence of infusion, which is easy, safe and worth clinical application.