静脉留置针中药封管方法在肝硬化患者中的应用  

Application of Chinese medicine method of sealing intravenous indwelling catheter in the hepatocirrhosis patients

作　　者：何竹[1] 施亚玲[2] 蒋晓芳[3] 沈兰[2] 车国慧 罗丽[2] 

机构地区：[1]四川省乐山市中医医院护理部,614000 [2]四川省乐山市中医医院肝病科,614000 [3]四川省乐山市中医医院肿瘤科,614000

出　　处：《中华现代护理杂志》2014年第21期2705-2707,共3页Chinese Journal of Modern Nursing

基　　金：乐山市2012年重点科技计划项目（12SZD124）

摘　　要：目的：探讨使用静脉留置针的肝硬化患者采用输液器内丹参冻干稀释液进行正压封管的效果。方法将201例使用静脉留置针的肝硬化患者采用随机数字表法分为3组，每组各67例。对照组采用传统方法肝素液5 ml（50 U/ml）进行正压封管；观察1组采用丹参冻干稀释液5 ml进行正压封管；观察2组采用正在输液的丹参冻干稀释液约5 ml（4 mg/ml）直接进行正压封管。比较3组患者置管前和拔管后凝血功能、堵管率、出血倾向、静脉炎发生率和平均封管时间。结果对照组、观察1组、观察2组堵管率分别为6．2％，10．8％，7．6％，出血倾向发生率分别为12．3％，6．2％，13．8％，静脉炎发生率分别为9．2％，4．6％，7．7％，3组比较差异均无统计学意义（χ2值分别为0．83，0．40，0．48；P＞0．05）。对照组、观察1组、观察2组患者拔针后凝血酶原时间（PT）分别为（18．16±4．82），（17．64±3．96），（17．28±3．89）s，3组比较差异无统计学意义（F＝0．71，P＞0．05）。观察1组平均封管时间为（49．26±4．78）s，观察2组为（33．41±3．91）s，差异有统计学意义（t＝40．66，P＜0．01）。结论3种静脉留置针封管方法均安全有效，采用输液器内治疗的中药丹参冻干稀释液直接进行正压封管，优化护理流程，减轻患者、家属及社会的经济负担，值得临床推广。Objective To explore the effect of positive pressure sealing intravenous indwelling catheter in the hepatocirrhosis patients by the Salvia lyophilized dilution in the apparatus infusionis .Methods Two hundred and one hepatocirrhosis patients with intravenous indwelling catheter were chosen and divided into three groups according to the random number table , each with 67 cases.The control group received the traditional positive pressure sealing tube through heparin solution （5 ml, 50 U/ml）, and the test group 1 received the positive pressure sealing tube through Salvia lyophilized dilution （5 ml）, and the test group 2 received the direct positive pressure sealing tube through the Salvia lyophilized dilution （ 5 ml, 4 mg/ml ） in the apparatus infusionis.The coagulation function, the rate of jamming, bleeding tendency, incidence rate and the average time of sealing tube of phlebitis were compared among three groups before the indwelling catheter and after the extubation catheter .Results The rates of jamming were respectively 6.2%, 10.8% and 7.6% in the control group, the test group 1 and 2, and the incidence rates of bleeding tendency were respectively 12.3%, 6.2%, and 13.8%, the incidence rates of phlebitis were respectively 9.2%, 4.6% and 7.7%, and the differences were not statistically significant （χ2 =0.83, 0.40, 0.48, respectively;P〉0.05）.The prothrombin time were respectively （18.16 ±4.82）s, （17.64 ±3.96）s, （17.28 ±3.89）s in the control group, the test group 1 and 2, and the differences were not statistically significant （F=0.71,P〉0.05）.The average time of sealing tube was （49.26 ±4.78）s in the test group 1, and was （33.41 ±3.91）s in the test group 2, and the difference was statistically significant （t=40.66,P 〈0.01）.Conclusions Three kinds of methods of sealing intravenous indwelling catheter are safe and effective .The application of the direct positive pressure sealing tube through the Salvia lyophilized dilution in the apparatus infusionis can optimi

关 键 词：肝硬化 中药封管 静脉留置针 

分 类 号：R472[医药卫生—护理学]