急诊抢救中应用安全型静脉留置针的观察  

Observation of Safety Venous Indwelling Needle in Emergent Rescuing

作　　者：汪兰英[1] 须俊滟[1] 夏兰[1] 席淑华[1] 

机构地区：[1]第二军医大学长征医院急诊科,上海200003

出　　处：《解放军护理杂志》2010年第4期251-252,255,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨安全型留置针在急诊抢救中应用的优越性。方法将269例急诊输液病例按照入院时间分为3组,分别以安全型留置针(A组,n=96)、普通留置针(B组,n=92)与头皮针(C组,n=81)建立静脉通路,比较三种方法的穿刺成功率、通畅率、脱针/渗漏率和穿刺针头误伤操作者发生率(简称刺伤率)。结果3组穿刺成功率分别为97.0%、96.5%和94.8%,通畅率分别为100%、98.5%和90.6%,脱针/渗漏率分别为1.0%、2.2%和11.1%,刺伤率分别为0%、7.6%和1.2%。C组患者通畅率最低而脱针/渗漏率最高(P<0.05),B组患者刺伤率高于其他两组(P<0.05)。结论以安全型留置针建立静脉通路具有穿刺成功率高、通畅性好、脱针/渗漏少和不误伤操作者等优点,适合在急诊抢救中推广。Objective To explore the advantages of safety venous indwelling needle in emergent rescuing. Methods A total of 269 transfusing patients were divided into group A （n = 96） with safety venous indwelling needle,group B（n= 92） with normal venous indwelling needle and group C（n= 81） with scalp needle based on the admission sequence. A comparison was conducted among the successful puncture rate, vessel patency rate,drop needle ＆ permeability rate and accidental injury rate of puncture needle. Results Of the 3 groups, the successful puncture rates were 97.0%, 96. 5% and 94. 8%, respectively; the vessel patency rates were 100% ,98.5%and 90.6% ,respectively;the drop needle ＆ permeability rate were 1.0%, 2.2% and 11. 1%, respectively; the accidental injury rate of puncture needle were 0%, 7. 6% ＆ 1. 2%, respectively. The lowest vessel patency rate but highest drop needle ＆ permeability rate were observed in the group C（P〈0.05）. The accidental injury rate of group B was higher than that of other two groups（P〈 0.05）. Conclusion The establishment of intravenous access by safety venous indwelling needle is effective and worth popularizing in emergent rescuing with advantages in high successful puncture rate, excellent vessel patency,fewer drop needle ＆ permeability and avoidance of accidental injury.

关 键 词：静脉留置针 急诊抢救 安全性 

分 类 号：R472.2[医药卫生—急诊医学] R457.2[医药卫生—护理学]