肝硬化患者不同型号静脉留置导管针的随机对照研究  

A randomized controlled study on different types of venous indwelling catheter needles in patients with liver cirrhosis

作　　者：李罗红[1] 周霜 陈丽[1] 杨小莉[1] 欧艳[1] 袁丽[2] Li Luohong;Zhou Shuang;Chen Li;Yang Xiaoli;Ou Yan;Yuan Li(Department of Gastroenterology,West China Hospital,Sichuan University,Chengdu,Sichuan,610041,China;Department of Endocrinology,West China Hospital,Sichuan University,Chengdu,Sichuan,610041,China;Department of Medical Imaging,Air Force Hospital of Westerm Theater Command of PLA,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西医院消化内科,成都610041 [2]四川大学华西医院内分泌科,成都610041 [3]西部战区空军医院医学影像科

出　　处：《西南国防医药》2020年第2期100-102,共3页Medical Journal of National Defending Forces in Southwest China

基　　金：四川省卫计委项目(130060);四川大学华西医院科研项目(171140192)。

摘　　要：目的比较研究肝硬化住院患者最适型号的外周静脉留置导管针。方法选取住院的200例肝硬化失代偿期患者,随机分为观察组与对照组,各100例。对照组采用22G留置导管针进行静脉穿刺,观察组采取24G留置导管针进行静脉穿刺,比较两组静脉穿刺处静脉炎的发生情况、留置导管针的留置最长时间、穿刺部位的疼痛感、一针穿刺成功率。结果观察组穿刺处静脉炎的发生率明显低于对照组(P<0.05);在留置导管针的留置最长时间、对穿刺部位疼痛感受、一针穿刺成功率方面,观察组均明显优于对照组(P<0.05)。结论肝硬化住院患者宜选择成人最小型号24G留置导管针进行外周静脉穿刺,能降低穿刺处的静脉炎,减轻穿刺部位的疼痛感受,提高一针穿刺成功率,延长导管针的最长留置时间。Objective To compare and study different types of peripheral venous indwelling catheter needles in inpatients with liver cirrhosis and determine the optimal one.Methods A total of 200 inpatients with decompensated cirrhosis were randomly divided into an observation group(n=100)and a control group(n=100).Venipuncture was performed for the control group and the observation group with 22 G indwelling catheter needles and 24 G indwelling catheter needles,respectively.The incidence of phlebitis at the venipuncture site,the longest indwelling time of indwelling catheters,the pain at the puncture site and the one-puncture success rate were compared between the two groups.Results The incidence of phlebitis at the venipuncture site in the observation group was significantly lower than that in the control group(P<0.05);the observation group was markedly superior to the control group in terms of the longest indwelling time of indwelling catheters,the pain at the puncture site and the one-puncture success rate(P<0.05).Conclusion It is recommended to select the 24 G indwelling catheter needle(adult type,the minimum size)for the inpatients with liver cirrhosis to conduct peripheral venipuncture,which c an decrease the incidence of phlebitis at the puncture site,alleviate the pain at the puncture site,improve the success rate and extend the longest indwelling time of catheter needles.

关 键 词：留置导管针 肝硬化 静脉炎 疼痛感受 留置时间 

分 类 号：R757.2[医药卫生—皮肤病学与性病学]