两种停留留置针方法的探讨  

作　　者：宁欢[1] 谢燕崧[1] 

机构地区：[1]广州医科大学附属第一医院,广州510120

出　　处：《当代护士（下旬刊）》2016年第2期141-142,共2页Modern Nurse

摘　　要：目的探讨两种停留留置针方法的临床应用效果。方法将160例浅静脉置管患者,随机分为实验组与对照组各80例,患者成功穿刺后,实验组边退针芯边置入外套管,在针柄离穿刺点0.2 cm时,将针芯抽出。对照组则将外套管全部送入皮肤。结果实验组发生输液堵塞或减慢及疼痛感较对照组低,差异有统计学意义,分别为χ2=4.841,P=0.028,χ2=11.033,P=0.001。实验组持续停留时间比对照组长,差异有统计学意义(t=12.44,P=0.000)。结论浅静脉留置针外套管穿刺时皮肤外留0.2 cm,有效降低了静脉炎的发生,降低了输液堵塞或减慢的发生率,减轻了患者疼痛感,延长了留置针的使用时间。Objective To investigate the clinical application effects of the two methods of vein detained needle.Methods Divided 160 patients with superficial vein catheter into experimental group and control group with 80 cases in each group randomly, after successful puncture, put into the trocar sheath while drew the needle core out for experimental group, then pulled out the needle core when the needle handle from the puncture point at 0.2 era.And the trocar sheaths of the control group were all sent to the skin.Results The incidence of transfusion blocked or slowed and pain in experimental group was lower than that in control group, the difference was statistically significant, respectively, χ^2 = 4.841, P = 0.028 ,χ^2 = 11.033, P = 0.001.The continued residence time of vein detained needle in experimental group was longer than in the control group, the difference had statistical significance （t = 12.44,P = 0.000）.Conclusion If 0.2 cm left when the superficial vein detained needle puncture into the skin, which will effectively reduce the incidence of phlebitis, reduced or slow down the incidence of transfusion blocked, reduce the pain, and prolong the using time of detained needle.

关 键 词：留置针 外套管 方法 

分 类 号：R472[医药卫生—护理学]