明胶海绵对预防血小板减少患者留置针渗血的效果观察  

Observation on the efficacy of gelatin sponge in preventing detaining needle induced errhysis for patients suffering thrombocytopenia

作　　者：李向君[1] 陈月香[1] LI Xiang-jun(Hematology department, the third affiliated hospital of Suzhou University, Changzhou, Jiangsu, 213003, China.)

机构地区：[1]常州市第一人民医院,江苏常州213003

出　　处：《齐齐哈尔医学院学报》2017年第23期2824-2826,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨明胶海绵对预防血小板减少患者静脉留置针穿刺点渗血的效果。方法以2014年6月至2015年3月收住血液科的血小板减少患者226例为研究对象。按时间顺序,2014年6月至2014年10月收治的95例患者为对照组,2014年11月至2015年3月收治的131例患者为干预组,对照组采用传统静脉留置针针眼直接覆盖透明敷贴的方法固定,干预组加用明胶海绵敷料固定。分析两组患者留置针渗血发生率、感染发生率、留置时间、更换留置针所花费用等的差异。结果使用明胶海绵干预后,干预组渗血率为14.50%,明显低于对照组(33.68%),差异有统计学意义(P<0.01);干预组留置时间(3.62±0.38)天明显高于对照组(2.8±0.76)天,差异有统计学意义(P<0.01)。干预组感染发生率2.29%,对照组感染发生率4.21%,两组间差异无统计学意义(P>0.05);干预组单日平均费用为(8.22±2.56)元,对照组单日平均费用为(8.05±2.34)元,两组间差异无统计学意义(P>0.05)。结论血小板减少患者静脉留置针穿刺点采用明胶海绵局部贴敷,止血的效果好,是预防静脉留置针穿刺点预防渗血的有效方法。Objective To detect the effects of absorbable gelatin sponge on the prevention of detaining needle induced capillary hemorrhage for patients suffering thrombocytopenia. Methods A total of 226 eases of patients with thrombocytopenia were enrolled during June 2014 and March 2015 from the department of hematology. According to the time sequence, 95 eases enrolled during June 2014 and October 2014 were selected as control group, 131 cases enrolled during November 2014 and March 2015 were treated as the intervention group. In the control group, the needle points were covered just by traditional method with a piece of transparent dressing, however, the needle points were covered with absorbable gelatin sponge and transparent dressing in the intervention group. The general information, incidence rate of indwelling needle blooding, infection rate, indwelling time, the cost of replacement of indwelling needle of the two groups were collected and analyzed. Results In the intervention group, the bleeding rate （ 14.5% ） was significantly lower than the control group （33.7%） （P〈0.01） , and the indwelling time was longer （ 3.62±0.38 vs 2.80±0.76, P〈0.01 ）. There was no significant difference in the infection rate between the two groups （2.3% vs 4.2% ）（ P〉0.05 ）.The average daily cost of the intervention group was 8.22±2.56 yuan, the average daily cost of the control group was 8.05±2.34 yuan, and there was no significant difference between the two groups （P〉 0. 05 ）. Conclusions Application of absorbable gelatin sponge in indwelling catheter puncture points in patients with thrombocytopenia can effectively preventing hemorrhage, prolonging the indwelling time.

关 键 词：外周静脉留置针 血液病 渗血 明胶海绵 可吸收性 血小板减少 

分 类 号：R472.9[医药卫生—护理学]