经Y型静脉留置针输注高渗液的护理观察  

Nursing observation of simultaneous transfusion of hypertonic fluid and conventional fluid through double channels of Y- type vein indwelling needle

作　　者：陈玉芬[1] 王华萍[1] 

机构地区：[1]杭州市第六人民医院重症肝病科,浙江310014

出　　处：《中国急救复苏与灾害医学杂志》2010年第4期347-349,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的观察应用Y型静脉留置针同时输入50％葡萄糖和常规液体对局部静脉疼痛、静脉炎的发生及留置针时间的影响。方法需经外周静脉注射高渗葡萄糖的90例患者按入院顺序均分为两组：观察组采用Y型静脉留置针双道将50％葡萄糖和常规液体同时静脉注射，对照组采用Y型留置针单道单一输入50％葡萄糖静脉注射。共观察5d，出现静脉炎症状即拔针。比较2组的疼痛程度、静脉炎发生率及留置针留置时间。结果观察组疼痛发生率为51．11％，显著低于对照组（86．67％，P〈0．01）。观察组静脉炎发生率为31％，显著低于对照组（67％，19〈0．05）。观察组静脉留置针〈3d和3-5d拔针的例数分别为5例和22例，均显著少于对照组（14例、28例，均19〈0．01）；留置时间5～7d有17例，显著多于对照组（3例，P〈0．01）。结论通过Y型静脉留置针同时输入50％葡萄糖和常规液体，能明显缓解静脉疼痛，降低静脉炎发生并延长留置针留置时间。Objective To observe the effects of simuhaneous transfusion of hypertonic fluid and conventional fluid through double channels of Y- type vein indwelling needle. Methods Ninety patients in need of intravenous transfusion of bypertonic fluids were divided into 2 equal groups according to the chronological order of hospitalization： observation group undergoing simultaneous intravenous transfusion of 50% glucose and conventional liquid through the double channels of the Y type vein indwelling needle respectively, and control group undergoing ntravenous transfusion of 50% glucose only through the single channel of Y-type vein indwelling needle. If phlebitis occurred the needle was withdrawn. The degree of local pain at the injecttion site, ratio of phlebitis and time of detaining of needle were compared between these 2 groups. Results The pain rate at the intravenous injection site of the observation group was 51.11%, significantly lower than that of the control group （86.67% , P〈 0.01）. The morbidity of phlebitis of the observation group was 31%, signigicantly lower than that of the control group （67%, P〈0.05）. The numbers of the patients who had to undergo withdrawl of needle 〈3 d and within the period of 3-5 d of the observation group were 5 and 22 respectively, both significantly lower than those of the control group （14 and 28 cases reaspectively , both P〈0.01）, and the number of the patients who had their needls datained for 5-7 d was 17 cases in the observation group, significantly higher than that in the contgrol group （3 cases, P〈0.01）. Conclusion Simultaneous transfusion of hypertonic fluid and conventional fluid through Y-type vein indwelling needle significantly alleviates the pain at the injection site, decreases the morbidity of phlebitis, and prolongs the detaining time of the needles.

关 键 词：留置针 高渗液 疼痛 静脉炎 

分 类 号：R472.9[医药卫生—护理学]