中长导管在急性胰腺炎患者输液治疗中的应用效果  

Study on the Application Effect of Medium Long Catheter in Infusion Therapy of Patients With Acute Pancreatitis

作　　者：韦惠云[1] 黄蔓颖 黄丽芝 韦娇妮 黎慧萍[1] 李君丽[1] WEI Huiyun;HUANG Manying;HUANG Lizhi;WEI Jiaoni;LI Huiping;LI Junli(Department of Gastroenterology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise Guangxi 533000,China)

机构地区：[1]右江民族医学院附属医院消化内科,广西百色533000

出　　处：《中国卫生标准管理》2022年第21期179-183,共5页China Health Standard Management

基　　金：广西壮族自治区百色市科学研究与技术开发计划项目(百科20203418);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-L20220860)。

摘　　要：目的探讨中长导管在急性胰腺炎输液治疗中的应用效果。方法选取2020年1—12月在右江民族医学院附属医院消化内科住院的122例急性胰腺炎患者为研究对象。根据随机数字表法分两组,对照组采用静脉留置针置管(61例),实验组采用中长导管置管(61例)。分析比较两组患者有效留置时间、置管后的疼痛情况及相关因素、并发症的发生率、患者的满意度。结果实验组患者置管的有效留置时间(19.23±2.77)d,对照组置管的有效留置时间(1.34±0.16)d,差异有统计学意义(P<0.05);实验组患者发生疼痛3例(4.92%),对照组置管发生疼痛45例(73.77%),差异有统计学意义(P<0.05),单因素方差分析和Logistic回归分析结果显示,置管方式的不同是疼痛发生的主要影响因素,使用静脉留置针发生疼痛的风险是中长导管的1.749倍。实验组患者的导管并发症发生率(6.65%)低于对照组(85.25%),差异有统计学意义(χ^(2)=76.052,P<0.05);两组患者出院满意度调查中,中长导管组患者的出院满意度(95.08%)明显高于静脉留置针组(83.61%),差异有统计学意义(P<0.05)。结论中长导管应用于急性胰腺炎患者输液治疗较静脉留置针更优,可有效延长导管留置时间,降低静脉炎发生率,减少并发症发生,而且提高了患者护理满意度。Objective To explore the application effect of medium and long catheter in the treatment of acute pancreatitis.Methods A total of 122 patients with acute pancreatitis hospitalized in the department of gastroenterology,Affiliated Hospital of Youjiang Medical University for Nationalities from January to December 2020 were selected as the research objects.According to the random number table method,they were divided into two groups.The control group was catheterized with intravenous indwelling needle(61 cases),and the experimental group was catheterized with medium and long catheter(61 cases).The effective indwelling time,pain after catheterization and related factors,incidence of complications,and patient satisfaction were analyzed and compared between the two groups.Results The effective indwelling time of the experimental group was(19.23±2.77)days,and the effective indwelling time of the control group was(1.34±0.16)days,the difference was statistically significant(P<0.05).There were 3 cases of pain in the experimental group(4.92%)and 45 cases of pain in the control group(73.77%),and the difference was statistically significant(P<0.05).One-way analysis of variance and Logistic regression analysis showed that the difference in the way of catheterization was the main influencing factor of pain,risk of pain with intravenous indwelling needle is 1.749 times higher than with medium and long catheter.The incidence of catheter complications in the experimental group(6.65%)was lower than that in the control group(85.25%),and the difference was statistically significant(χ2=76.052,P<0.05);In the survey of discharge satisfaction of patients in the two groups,the discharge satisfaction of patients in the medium and long catheter group(95.08%)was significantly higher than that in the intravenous indwelling needle group(83.61%),with statistical significance(P<0.05).Conclusion The application of medium and long catheter in the treatment of acute pancreatitis is better than that of intravenous indwelling needle,which can effec

关 键 词：急性胰腺炎 中长导管 静脉留置针 输液治疗 并发症 满意度 

分 类 号：R473[医药卫生—护理学]