便携式静脉穿刺辅助设备在肿瘤化疗患者输液中的应用效果  

Application effect of portable venous puncture auxiliary equipment in tu-mor chemotherapy patients infusion

作　　者：胡玉洁[1] 李平[1] 叶苓[2] 王亚楠[1] 张曼莉[1] HU Yujie LI Ping YE Ling WANG Ya′nan ZHANG Manli(Clinical Colleage of Air Force, Anhui Medical University, Anhui Province, Hefei 230032, China Department of Outpatient, Air Force General Hospital, PLA, Beijing 100142, China)

机构地区：[1]安徽医科大学空军临床学院,安徽合肥230032 [2]解放军空军总医院门诊部,北京100142

出　　处：《中国医药导报》2017年第22期165-168,共4页China Medical Herald

基　　金：北京市科技计划课题(Z141100002114016)

摘　　要：目的探讨自行研发的便携式静脉穿刺辅助设备在提高肿瘤化疗患者静脉穿刺成功率,减少化疗患者血管损伤,提高护士工作效率中的临床应用效果。方法收集2016年9月~2017年4月空军总医院肿瘤内科89例化疗患者作为研究对象,按照随机数字表法分为实验组(使用静脉穿刺辅助设备,45例)和对照组(常规穿刺,44例)。比较两组患者的一次性穿刺成功率、建立单个静脉通道的时间、药物外渗及静脉炎发生率情况。结果实验组患者一次性穿刺成功率明显高于对照组患者,差异有统计学意义(P<0.05);实验组护士建立单个静脉通路的时间明显少于对照组,差异有统计学意义(P<0.05);实验组患者药物外渗及静脉炎的发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论便携式静脉穿刺辅助设备操作简单、实用性强,能够清晰显示化疗患者的血管走向,有助于提高护士的静脉穿刺成功率,减轻患者反复穿刺造成的血管损伤,对保护肿瘤化疗患者的静脉血管安全具有重要意义。Objective To explore the clinical effects of the self-developed portable venous puncture auxiliary equipment in improving the success rate of intravenous chemotherapy, in order to reduce the vascular damage and improve the efficiency of nurses. Methods From September 2016 to April 2017, 89 patients underwent chemotherapy in Department of Medical Oncology, Air Force General Hospital, PLA were selected and divided into experimental group（venous puncture auxiliary equipment used, 45 cases） and control group（routine puncture, 44 cases）. The success rate of onetime puncture, the time of single vein passage, the rate of drug extravasation and phlebitis were compared between the two groups. Results The successful rate of one-time puncture in the experimental group was significantly higher than that in the control group, with statistically significant difference（P〈0.05）. The time of establishing a single vein route in the experimental group was significantly less than that in the control group with statistically significant difference（P〈0.05）. The incidence of drug extravasation and phlebitis in the experimental group were significantly lower than those in the control group, with statistically significant difference（P〈0.05）. Conclusion The portable intravenous puncture auxiliary equipment has the advantages of simple operation and strong practicability, can clearly show the chemotherapy of patients with vascular to help to improve the success rate of vein puncture nurses, reduce the vascular injury caused by repeated puncture of the patients, which is of great significance to protect vessel safety in patients undergoing chemotherapy.

关 键 词：耐用医疗设备 输注 静脉内 化学疗法 辅助 

分 类 号：R47[医药卫生—护理学]