两种退针方式在外周静脉留置针冲管中的效果比较  

Comparison of the Effect of Two Kinds of Needle Withdrawal Methods in the Flushing of Peripheral Venous Indewelling Needles

作　　者：陈亚丹[1] 王凤娟[1] 许丽璇[1] 李丽春[1] 朱海华[1] CHEN Ya-dan;WANG Feng-juan;XU Li-xuan;LI Li-chun;ZHU Hai-hua(The First Affiliated Hospital of Xiamen University,Fujian Xiamen 361000)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《深圳中西医结合杂志》2022年第14期126-129,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：厦门市护理学会科研立项课题(XM201714)。

摘　　要：目的:比较传统的退针方式与改良的退针方式对外周静脉留置针留置时间及相关并发症的影响,探讨外周静脉留置针最佳的维护方法。方法:选取厦门大学附属第一医院2019年1月至12月195例通过外周静脉留置针进行输液的患者,按住院时间分为观察组和对照组。对照组患者103例采用传统的边冲边退的退针方式进行封管,观察组患者92例采用先回退3/4头皮针后再进行冲封管的方法。比较两组患者外周静脉留置针留置时间、拔针原因及针刺伤方式。结果:观察组患者留置针留置时间长于对照组,差异具有统计学意义(P < 0.05);观察组患者拔针原因中药物渗出发生情况低于对照组,静脉炎发生情况高于对照组,差异具有统计学意义(P< 0.05),两组患者堵管及穿刺点局部感染比较,差异无统计学意义(P> 0.05);两组患者均未发生针刺伤,但是对照组有11例针尖意外划出,观察组有2例,差异具有统计学意义(P< 0.05)。结论:改良的退针方式能延长留置针留置时间,减少药物渗出,但是不能降低堵管及静脉炎的发生率。Objective To compare the effect of traditional and improved methods of needle withdrawal methods on the retention time and related complications of peripheral venous indwelling needles,and to explore the best maintenance method of peripheral venous indwelling needles.Methods A total of 195 patients who received intravenous infusion via peripheral venous indent needle from the First Affiliated Hospital of Xiamen University from January to December 2019 were selected and divided into an observation group and a control group according to the length of stay.In the control group,103 cases were treated with traditional needle withdrawal while flushing,while in the observation group,92 cases were treated with 3/4 scalp needle withdrawal before flushing and sealing.The indwelling time of peripheral venous indwelling needles,the reason of needle removal and the way of needle injury were compared between the two groups.Results The duration of indwelling needle in the observation group was longer than that in the control group,and the difference was statistically significant (P 0.05).No needle injury occurred in the two groups,but there were 11 cases of accidental needle tip drawing in the control group and two cases in the observation group,the differences were statistically significant (P < 0.05).Conclusion The improved needle withdrawal method can prolong the indwelling time of the indwelling needle and reduce drug exudation,but cannot reduce the incidence of tube blockage and phlebitis.

关 键 词：外周静脉留置针 退针方式 留置时间 药物渗出 静脉炎 

分 类 号：R473[医药卫生—护理学]