2种海拔地区静脉留置针输液的效果观察  

Comparison of Intravenous Indwelling Needle Infusion at Different Altitudes

作　　者：朱小丽[1] 贺艳君[1] 秦晓玮 刘林林 ZHU Xiao-li;HE Yan-jun;QIN Xiao-wei;LIU Lin-lin(Dept.of Nursing Administration,No.474 Hospital of PLA,Urumqi 830011,China)

机构地区：[1]中国人民解放军第474医院护理部,新疆乌鲁木齐830011

出　　处：《护理学报》2018年第8期55-58,共4页Journal of Nursing（China）

摘　　要：目的比较2种海拔地区患者使用静脉留置针的效果。方法纳入使用静脉留置针进行静脉输液患者为研究对象,选取收治于海拔高度为3 828 m的喀喇昆仑山某医疗站的军人患者78例作为观察组;收治于海拔高度为800 m新疆乌鲁木齐市某医院的军人患者78例为对照组。2组患者静脉穿刺方法及操作者均相同。比较2组患者穿刺成功率、留置时间、并发症发生率及患者满意度情况。结果观察组留置针穿刺成功率、留置时间和患者满意度均低于对照组(P<0.05),而静脉炎、液体渗出、局部感染和管路堵塞并发症发生率高于对照组(P<0.05),2组患者导管脱出发生率比较差异无统计学意义(P>0.05)。结论高海拔地区患者使用静脉留置针的效果低于平原地区患者,穿刺成功率较低,留置时间较短,并发症发生率较高。Objective To compare the infusion effect of intravenous indwelling needle in high and low altitude region.Methods According to inclusion and exclusion criteria,we selected 78 patients with intravenous indwelling needles as the experimental group from the region at an altitude of 3,828 meters and 78 patients as controls from one hospital at an altitude of 800 meters.Then we compared the success rate of puncturing,average retention time,transfusion complications and patient satisfaction between the two groups.Results In the experimental group,there were lower success rate of puncture,shorter indwelling time and lower satisfied with the service(P<0.05),and the incidence of complications including phlebitis,fluid exudation,local infection and obstruction of the pipeline was higher than that in the control group(P<0.05),however,there was no significant difference between the two groups in the incidence of catheter prolapse(P>0.05).Conclusion The infusion effect of intravenous indwelling needle in high altitude area is not as good as that in the plain,therefore,nurses should take individualized infusion measures to improve transfusion effect.

关 键 词：高原 平原 静脉输液 留置针 并发症 

分 类 号：R472.9[医药卫生—护理学]