临床应用分隔输液器引发若干护理问题的解决方法探讨  

Study on ways of solving some nursing problems which are related to the clinical application of in- traflx

作　　者：李军[1] 石天奇[1] 王淑琴[2] 

机构地区：[1]中国医科大学附属盛京医院急诊科,沈阳110004 [2]大连医科大学附属第一医院耳鼻喉科门诊

出　　处：《中国实用护理杂志》2013年第36期8-11,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨分隔输液器在临床应用中所引发的护理问题的解决办法。方法将我院急诊科2013年2—5月出现的324例应用分隔输液器出现回血的患者进行拔针分组实验，将患者随机分为实验组A与对照组A各162例。实验组A采用挤压拔针封管法，对照组A采用普通拔针法。将实验组A与对照组A中出现的206例应用分隔输液器过程中产生气泡的患者进行分组，分别为实验组B与对照组B各103例。实验组B采用末端排气法，而对照组B采用常规的上行排气法。比较2组拔针及排气的效果。计算在使用输液冲管法时，为滴入剩余药品所用的最少冲管时间。结果应用挤压拔针法的实验组A拔针效果明显好于对照组A，差异具有统计学意义；应用末端排气法的实验组B排气效果明显好于采用上行排气法的对照组B，差异具有统计学意义。采用点滴系数的方法来计算最短冲管时间可以更好的保证药品进入患者体内。结论挤压拔针法可以有效的解决在使用分隔输液器拔针时产生的回血问题；末端排气法可以解决分隔输液器中无法使用上行排气的问题；冲管法与正压卷管法应用在分隔输液器中可以最大限度的减少药液浪费。Objective To find out some ways to solve the problems which are dealing with the clin- ical application of intrafix. Methods From February to May 2013, 324 patients with back blood using in- trafix in emergency department were randomly assigned to the experimental group A and the control group A, with 162 patients in each group. The experimental group A used the method of pressing pipe while pulling out the needles when transfusion was over, while the control group A used traditional ways. 206 pa- tients who occurred bubbles in the intrafix among the above two groups were divided into the experimental group B and the control group B. The experimental group B got rid of the bubbles using top-down method, the control group B used traditional ways. The effect of withdrawing the needles and exhaustion of bubbles were compared. The least flushing time of remaining liquid using transfusion pipe flushing method was cal- culated. Results The experimental group A and the experimental group B were better in withdrawing the needles and exhaustion of bubbles compared with those of the control group A and the control group B. Us- ing the method of drop coefficient to calculate the least flushing time can ensure the drug to be transfused into the body thoroughly. Conclusions When transfusion is over, pressing intrafix pipe will have a better result than the traditional way when pulling out the pipe. Top-down method can clearly settle the problem of intrafix pipe, which can not get rid of bubble via traditional way. Flushing pipe and press pipe method can apparently decrease drug waste.

关 键 词：分隔输液器 输液器挤压封管法 末端排气法 

分 类 号：R472[医药卫生—护理学]