3种静脉留置针在成人住院患者使用效果对比分析  

Effect Comparison of Three Kinds of Venous Indwelling Needles in Adult Inpatients

作　　者：苑航[1] 陈利芬[1] 陈影洁[2] 王彩芳 何金爱 梁仁瑞[5] YUAN Hang;CHEN Li-fen;CHEN Ying-jie;WANG Cai-fang;HE Jin-ai;LIANG Ren-rui(The First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,China;Zhongshan People’s Hospital,Zhongshan 528400,China;Qingyuan People’s Hospital,Qingyuan 511500,China;Guangzhou Overseas Chinese Hospital Affiliated to Jinan University,Guangzhou 510630,China;Dept.of Nursing Administration,Affiliated Hospital of Guangdong Medical College,Zhanjiang 524001,China)

机构地区：[1]中山大学附属第一医院,广东广州510080 [2]中山市人民医院,广东中山528400 [3]清远市人民医院,广东清远511500 [4]暨南大学附属华侨医院,广东广州510630 [5]广东医学院附属医院护理部,广东湛江524001

出　　处：《护理学报》2018年第8期51-54,共4页Journal of Nursing（China）

基　　金：广东省护理学会课题(YH20160101)

摘　　要：目的探讨3种静脉留置针在成人住院患者中的应用效果。方法选取入住广东省5家三级甲等医院成年住院患者1 088例,将纳入研究的各个病区患者按床号顺序分为3组。第1组患者374例,使用一体化正压连接式24 G留置针,第2组患者340例,使用一次性Y型24 G密闭式留置针连接肝素帽,第3组患者374例,使用一次性Y型24 G密闭式静脉留置针连接分隔膜无针接头,观察比较3组患者留置期间堵管、静脉炎、渗出发生情况及留置期间总费用情况。结果 3组不同类型留置针其堵管发生率比较差异有统计学意义(P<0.05),第1组静脉留置针患者堵管发生率低于第2组和第3组(P<0.05)。3组不同类型留置针渗出发生率比较差异有统计学意义(P<0.05),第3组静脉留置针患者渗出发生率低于第1组和第2组(P<0.05)。3组不同类型留置针静脉炎发生率比较差异无统计学意义(P>0.05)。3组患者静脉留置针总费用比较差异有统计学意义(P<0.05),费用由低到高依次是第2组、第1组、第3组。结论不同类型留置针各有其优点,需结合患者经济条件和留置针使用效果2个方面,选出最适合患者的输液工具。Objective To explore the effect of 3 different indwelling needles in adult inpatients.Methods A total of 1,088 adult inpatients in 5 ClassⅢGradeⅠhospitals in Guangdong province were selected,and divided into 3 groups according to the order of bed number.Group A included 374 patients using the integrated positive pressure connector 24G indwelling needle;group B 340 patients using the disposable Y-type 24G closed connected heparin cap indwelling needle and group C 374 patients using the disposable Y-type 24G closed type venous indwelling needle connection separation membrane needleless connector.The obstruction,phlebitis,exudation and the total cost during the stay in the 3 groups were observed and compared.Results The incidence of obstruction in group A was lower than that group B and C(P<0.05),which showed statistical significance(P<0.05).There was a significant difference in the incidence of exudation between 3 groups(P<0.05)and the incidence of exudation in group C was lower than that in group A and B(P<0.05).There was no significant difference in the incidence of phlebitis in 3 groups(P>0.05).The total cost of venous indwelling needle in the 3 groups was statistically significant(P<0.05),and group B cost the most,followed by group A and C.Conclusion Each type of indwelling needle has its own advantages and it is necessary to select the most suitable infusion tools based on patient’s economic conditions and the effect of the indwelling needle.

关 键 词：静脉留置针 堵管 静脉炎 渗出 

分 类 号：R472.9[医药卫生—护理学]