心血管疾病伴发心功能不全病危患者静脉输液穿刺针的选择探讨  

Investigation of the Appropriate Intravenous Infusion way for Critically Ill Patients with Cardiovascular Disease

作　　者：李中清[1] 

机构地区：[1]安徽医科大学第一附属医院心内科,合肥230022

出　　处：《临床护理杂志》2012年第2期69-71,共3页Journal of Clinical Nursing

摘　　要：目的探讨心血管疾病伴发心功能不全的病危患者静脉输液穿刺针的最佳选择。方法选择2010年11月～2011年10月入住我科的伴发心功能不全心脏病病危患者60例,随机分为对照组和实验组,各30例。对照组输液采用普通静脉留置针。实验组输液采用中心静脉导管。比较两组并发症发生率、套管平均留置天数、再次穿刺置管率。结果两组并发症中的套管堵塞及其他发生率比较无显著性差异(P>0.05)。静脉炎及液体外渗发生率两组比较有显著性差异(P<0.05,P<0.01);穿刺针平均留置天数和再次穿刺置管率比较有显著性差异(P<0.001,P<0.01)。结论心血管疾病伴发心功能不全病危患者静脉输液穿刺针应选用中心静脉导管,尽可能减少患者因反复静脉穿刺带来的痛苦,充分保证治疗及抢救的及时性、有效性,保障医疗、护理安全。Objective To investigate the appropriate way of intravenous infusion for critically ill patients with cardiovascular disease. Methods 60 patients with heart failure were randomly divided into two groups.30 patients were treated with normal intravenous catheter while 30 patients were treated with central venous catheter in experiment group.The incidence of complications were analyzed retrospective.And compare the average vein puncture retention days,the incidence rate and the vein repuncture rate. Results The incidence of tube blockage was no significant difference between two groups（P0.05）.The incidence of phlebitis and fluid extravasation were significantly different（P0.05,P0.01）.The average days of vein puncture retention and vein repuncture rate were significantly different（P0.001,P0.01）. Conclusion Central venous catheter should be used as soon as possible in order to reduce the pain caused by repeated vein puncturing,ensure the effectiveness of treatment and rescuing and improve the quality of medical care for critically ill patients with cardiovascular disease.

关 键 词：心血管疾病 心力衰竭 输注 静脉内/方法 

分 类 号：R54[医药卫生—心血管疾病] R541.6[医药卫生—内科学]