肺癌患者留置针正压封管时钢针针头位置对封管效果的影响  

Influence of position of steel needle tip on tube sealing for the positive pressure tube sealing of indwelling needle of lung cancer patients

作　　者：姚月红[1] 谷薇娜 

机构地区：[1]扬州大学附属医院西区二十二病区,扬州市225100 [2]苏北人民医院肿瘤科

出　　处：《护理实践与研究》2017年第8期94-95,共2页Nursing Practice and Research

摘　　要：目的:探讨留置针封管时针尖位置对封管效果的影响。方法:将2014年1月~2015年12月114例肺癌患者248次穿刺数随机分为3组,I组38例穿刺73例次,采用脉冲式正压封管时钢针针头退出1/3;II组38例穿刺76例次,采用脉冲式正压封管时钢针针头退出2/3;Ⅲ组38例穿刺99例次,采用脉冲式正压封管时钢针针头只留斜面在肝素帽内,3组均剩余1 ml封管液边推注边带液拔针。比较3组的封管效果。结果:当钢针针头仅斜面位于肝素帽内时封管效果优于其他两组。结论:肺癌患者留置针正压封管时钢针针头在肝素帽内仅留斜面,可减少不良反应发生,延长留置时间。Objective：To discuss the influence of position of needle tip on tube sealing of indwelling needle.Methods：Divided 114 lung cancer patients receiving 248 times puncture of lung cancer patients from January 2014 to December 2015 into 3 groups at random,where 38 patients in Group 1 received 73 times of puncture,when pulse positive pressure tube sealing was used,the steel needle tip withdrew 1/3;38 patients in Group II received 76 times of puncture,when pulse positive pressure tube sealing was used,the steel needle tip withdrew 2/3 and 38 patients in Group III received 99 times of puncture,when pulse positive pressure tube sealing was used,the steel needle tip only had a slope left in the heparin cap,and 1ml tube sealing fluid remained in the 3 groups,and the fluid was injected while the needle was pulled out with fluid.Tube sealing effect of the 3 groups was compared.Results：When the steel needle tip only had a slope left in the heparin cap,the tube sealing effect was better than other two groups.Conclusion：For the positive pressure tube sealing of indwelling needle of lung cancer patients,the steel needle tip with a slope left in the heparin cap could reduce the occurring of adverse reaction and extend the indwelling time.

关 键 词：肺癌 静脉留置针 封管 针头位置 

分 类 号：R473.73[医药卫生—护理学]