改良自粘弹力绷带固定法对^(131)I核素治疗患者手背静脉留置针固定效果探讨  

The effects of reformative self-adhesive elastic bandage on the fixation of palm-dorsa venous indwelling needle for patients received ^(131)I radionuclide therapy

作　　者：李景慧[1] 李雪芹[1] 叶琦[1] 周月梅[1] 荀峥[1] 张倩倩[1] 

机构地区：[1]徐州医学院附属医院,江苏221000

出　　处：《齐齐哈尔医学院学报》2013年第18期2758-2760,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨131I核素治疗患者手背静脉留置针的固定方法及其效果。方法选取行手背静脉穿刺留置静脉针的131I核素治疗患者150例,随机分为对照组和观察组。对照组手背静脉穿刺成功后使用常规固定法,即无菌透明敷贴+胶布外固定延长管;观察组使用无菌透明敷贴固定后加用改良自粘弹力绷带"剪孔穿拇指法"固定。比较两组静脉留置针留置时间及留置期间相关并发症的发生情况。采用SPSS 13.0软件进行数据分析,P<0.05有统计学意义。结果对照组留置时间(60.4±9.0)h,观察组留置时间(94.2±11.0)h,t=24.57,P<0.01;对照组并发症发生时间为(59.8±9.0)h,观察组并发症发生时间为(97.5±8.9)h,t=13.66,P<0.01;留置期间对照组并发症发生率为48.6%,观察组发生率为17.5%,χ2=15.97,P<0.01。结论改良自粘弹力绷带"剪孔穿拇指法"固定手背静脉留置针简便易行,可以明显减少相关并发症的发生,延长手背静脉留置针的留置时间,从而减轻病人的痛苦,减少护理人员的辐射剂量。Objective To explore the fixation method for palm-dorsa venous indwelling needle （I. V. cannula） and its effectsforpatients received^131I radionuclide therapy. Methods Patients those who received ^131I radionuclide therapy through palm-dorsa vein puncture with venous indwelling needle were divided into thecontrol group and observation group randomly. Patients in the control group receivedroutine fixation method following successful palm-dorsa vein puncture, fix theextension cannula with sterile transparent sticking plaster and adhesive stripe; Fixation in the observation group was sterile transparent sticking plasterand ＂ thumb in bandage hole method＂ by using reformative self-adhesive elastic bandage. The incidence of relevant complications in each group were recorded and compared. Datas were analyzed with SPSS 13.0. P 〈 0.05 was considered statistically significant. Results The duration of eannula detainment in control group （ 60.4 ± 9. 0） h was significantly less than that in observation group（94.2 ± 11. 0h ） （t = 24. 57, P 〈 0. 01 ） ; The occurrence time of complication in control group and observation group was （ 59.8 ± 9.0 ） h and 97.5 ± 8.9h, differences between the two groups were statistically significant（ t = 13.66, P 〈 O. 01 ）;The incidence rate of complications during cannula detainment in observationgroup（ 17.5% ） was significanly less than that in control group（48.6% ） （ Х^2 = 15.97, P 〈 0. 01 ）. Conclusions The ＂thumb inbandage hole method＂ using reformative self-adhesive elastic bandage is flexible for the fixation of palm-dorsa venous indwelling needle, and can significantly reduce the incidence of complications, andextenddetainment duration of palm-dorsa veindetainedneedle, alsocan alleviate the suffering of patients and reduce the radiation dose of the nursing staff.

关 键 词：131I 放射性核素 甲状腺癌 甲状腺机能亢进症 静脉留置针 并发症 自粘弹力绷带 

分 类 号：R472.9[医药卫生—护理学]