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静脉留置针主要用于保持静脉通道通畅,相较于普通钢针,可以减少因反复穿刺而给病人造成的痛苦,有利于临床用药和紧急抢救,减轻护理人员反复静脉穿刺的工作量[1-2],在临床上已被广泛使用。2016版INS指南指出:外周静脉留置针在不发生堵管且无静脉炎的情况下可以留置72~96 h甚至更长,然而临床上高达35%~50%的留置针使用寿命小于72 h[3],这种现象不仅增加了静脉穿刺次数和静脉炎的发生率,而且也增加了病人的痛苦和经济负担[4]。留置针留置时间缩短的原因很多,其中一个重要因素是传统透明敷贴容易卷边甚至撕脱,导致留置针的固定不牢,因此出现意外脱管或拔管。为了克服3M透明敷贴的不足,我们对其进行了改良,设计出了这款新型留置针固定敷贴,即多功能医用留置针固定敷贴(专利号:ZL2019215136642)。为了检验本发明在临床上的实用性,我们进行了一项前瞻性临床研究。现作报道。
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观察组不同时段静脉留置针敷贴卷边累计值均明显低于对照组(P < 0.01)(见表 1)。
分组 n 24 h内 48 h内 72 h内 96 h内 对照组 105 29(27.6) 60(57.1) 85(81.0) 102(97.1) 观察组 103 1(1.0) 4(3.9) 11(10.7) 19(18.4) χ2 — 29.92 69.24 103.32 132.34 P — < 0.01 < 0.01 < 0.01 < 0.01 表 1 不同时段内2组静脉留置针敷贴出现卷边的累计值比较[n; 百分率(%)]
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观察组平均留置时间为(60.63±22.51)h, 明显少于对照组的(90.17±5.82)h(t'=13.01, P < 0.01)。
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观察组不同时段内静脉留置敷贴累计更换率均明显低于对照组(P < 0.01)(见表 2)。
分组 n 24 h内 48 h内 72 h内 对照组 105 17(16.2) 38(36.2) 53(50.5) 观察组 103 1(1.0) 5(4.9) 11(10.7) χ2 — 15.24 31.13 38.66 P — < 0.01 < 0.01 < 0.01 表 2 不同时段内2组静脉留置针敷贴累计更换率比较[n; 百分率(%)]
新型留置针固定敷贴在外周静脉留置针固定中的应用研究
Study on the application value of new indwelling needle fixation application in peripheral vein indwelling needle fixation
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摘要:
目的探讨新型留置针固定敷贴在外周静脉留置针固定中的有效性。 方法选取口腔颌面外科住院病人208例,按住院号奇偶数分为观察组103例和对照组105例,对照组使用3M透明敷贴,观察组使用新型留置针固定敷贴。比较2组病人留置针的平均留置时间、不同时间段内敷贴的累计卷边率及累计更换率。 结果观察组不同时段静脉留置针敷贴卷边累计值均明显低于对照组(P < 0.01)。观察组平均留置时间为(60.63±22.51)h,明显少于对照组的(90.17±5.82)h(P < 0.01)。观察组不同时段内静脉留置敷贴累计更换率均明显低于对照组(P < 0.01)。 结论新型留置针固定敷贴使用方便、价格低廉,并可有效降低留置针敷贴的卷边率、更换率,延长留置针平均留置时间,值得在临床上进一步推广应用。 Abstract:ObjectiveTo explore the effectiveness of a new type of indwelling needle application in the peripheral vein indwelling needle fixation. MethodsA total of 208 inpatients in oral and maxillofacial surgery were investigated, and the patients were divided into the experimental group (103 cases) and control group (105 cases) according to odd and even numbers. The control group were treated with 3M transparent application, while the experimental group were treated with a new type of indwenting-needle fixation application. The average indwelling time of indwelling needle, cumulative curling rate and cumulative replacement rate of the application in different time periods were compared between two groups. ResultsThe cumulative curling value of venous indwelling needle at different time periods in experimental group was significantly lower than that in control group (P < 0.01).The mean indwelling time in the experimental group was (60.63±22.51) h, which was significantly lower than that in control group [(90.17±5.82) h](P < 0.01). The cumulative replacement rate of the application in experimental group in different time periods was significantly lower than that in control group (P < 0.01). ConclusionsThe new type of indwelling needle fixation application is convenient to use, low in price, and it can effectively reduce the curling rate and replacement rate, and prolong the indwelling time of indwelling needle.It is worthy of further promotion and application in clinical practice. -
Key words:
- intravenous indwelling needle /
- application /
- indwelling time
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表 1 不同时段内2组静脉留置针敷贴出现卷边的累计值比较[n; 百分率(%)]
分组 n 24 h内 48 h内 72 h内 96 h内 对照组 105 29(27.6) 60(57.1) 85(81.0) 102(97.1) 观察组 103 1(1.0) 4(3.9) 11(10.7) 19(18.4) χ2 — 29.92 69.24 103.32 132.34 P — < 0.01 < 0.01 < 0.01 < 0.01 表 2 不同时段内2组静脉留置针敷贴累计更换率比较[n; 百分率(%)]
分组 n 24 h内 48 h内 72 h内 对照组 105 17(16.2) 38(36.2) 53(50.5) 观察组 103 1(1.0) 5(4.9) 11(10.7) χ2 — 15.24 31.13 38.66 P — < 0.01 < 0.01 < 0.01 -
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