CRRT结束后非隧道式导管封管前冲洗液使用情况现状调查  

The use of flushing solution for the non-tunneled catheter after continuous renal replacement therapy(CRRT):a cross-sectional survey

作　　者：卢航潮 覃湘君 崔冬梅 邹惠坚 何卓盈 陈泉宇 李康叶 全梓林 尹燕 陈诚 宋利 LU Hang-chao;QIN Xiang-jun;CUI Dong-mei;ZOU Hui-jian;HE Zhuo-ying;CHEN Quan-yu;LI Kang-ye;QUAN Zi-lin;YIN Yan;CHEN Cheng;SONG Li(Intensive Care Unit,The First People's Hospital of Zhaoqing,Zhaoqing 526060,China;Department of Critical Care Medicine,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510000,China;Department of Nephrology,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510080,China;Department of Critical Care Medicine,Nanhai District People's Hospital of Foshan City,Foshan 528000,China;Blood Purification Center,Jiangmen Central Hospital,Jiangmen 529000,China;Department of Critical Care Medicine,Foshan Fuxing Chencheng Hospital,Foshan 528000,China)

机构地区：[1]肇庆市第一人民医院综合ICU,肇庆526060 [2]广州医科大学附属第二医院重症医学科,广州510000 [3]南方医科大学附属广东省人民医院(广东省医学科学院)肾内科,广州510080 [4]华南理工大学附属第六医院(佛山市南海区人民医院)重症医学科,佛山528000 [5]江门市中心医院血液净化中心,江门529000 [6]佛山复星禅诚医院重症医学科,佛山528000

出　　处：《中国血液净化》2023年第7期557-560,共4页Chinese Journal of Blood Purification

基　　金：广东省医学科学技术研究基金项目(A2021260);广州市科技计划项目(202102080292)。

摘　　要：目的横断面调查连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)后非隧道式导管封管前冲洗液使用现状,为导管功能维护与护理提供参考。方法采用问卷星对广东省78家医院进行调查,了解CRRT后非隧道式导管封管前冲洗液使用类型、剂量和使用注射器类型等。结果共收集问卷91份,有效问卷78份(排除来自同一医院的问卷13份),有效率85.7%。参与调查的CRRT护士的平均年龄为(33.78±5.97)岁,其中男性占19.2%,主管护师及以上职称占56.4%。生理盐水是CRRT后冲管的常见药物(97.5%),2家医院使用灭菌注射用水为冲管液。不同医院生理盐水冲管液剂量:5 ml[12(14.5%)]、10 ml[47(56.6%)]、15 ml[5(6.0%)]和20 ml[19(22.9%)];冲管使用的注射器容量类型有5 ml[1(1.2%)]、10 ml[29(35.4%)]、20 ml[45(54.9%)]和30 ml[7(8.5%)]。结论生理盐水是CRRT后非隧道式导管封管前冲洗液的主要类型,生理盐水冲洗剂量与使用注射器类型有多种形式。Objective This was a cross-sectional study to investigate the use of flushing solutions before locking solution for non-tunneled catheters after continuous renal replacement therapy(CRRT),in order to provide a reference for maintenance and care of the catheters.Methods A questionnaire survey was conducted using the Wenjuanxing online survey to investigate the 78 hospitals in Guangdong province in order to understand the type and dose of flushing solution and the type of syringe used for non-tunneled catheters after CRRT.Results A total of 91 questionnaires were collected,and 78 were effective after excluding 13 questionnaires from the same hospitals,with an effective rate of 85.7%.The average age of the nurses conducting CRRT was 33.78±5.97 years,with 19.2%of males and 56.4%having the senior professional titles.Normal saline was the most commonly used solution(97.5%)for flushing after CRRT,while sterilized water for injection was used in two hospitals.The volume of normal saline used for flushing was variable in the hospitals:5ml in 12 hospitals(14.5%),10ml in 47 hospitals(56.6%),15ml in 5 hospitals(6.0%),and 20ml in 19 hospitals(22.9%).The volume of syringe used for flushing was 5ml in one hospital(1.2%),10ml in 29 hospitals(35.4%),20ml in 45 hospitals(54.9%),and 30ml in 7 hospitals(8.5%).Conclusion Normal saline is the main flushing solution for non-tunneled catheters after CRRT,but the volume of normal saline and the type of syringe for the injection are variable in these hospitals.

关 键 词：连续性肾脏替代治疗 血液透析 中心静脉留置导管 冲管液 

分 类 号：R473[医药卫生—护理学]