输液港蝶形针冲洗方向对储液槽残留物的影响研究  

Effect of butterfly needle flushing direction on reservoir residue at infusion port

作　　者：束盼月 茅昌敏[2] 朱青[3] 冯玉玲[1] Shu Panyue;Mao Changmin;Zhu Qing;Feng Yuling(Intravenous Infusion Therapy Care Center,People′s Hospital of Jiangsu University,Zhenjiang 212002,China)

机构地区：[1]江苏大学附属人民医院静脉输液治疗护理中心,江苏镇江212002 [2]江苏省肿瘤医院 [3]常州市第二人民医院

出　　处：《护理学杂志》2023年第16期71-73,81,共4页Journal of Nursing Science

基　　金：江苏大学附属人民医院临床护理新技术新项目(LLHL20190003)。

摘　　要：目的探讨输液港蝶形针任意方向冲洗与传统背向冲洗对港座储液槽内残留物的影响。方法将100例新植入输液港的肿瘤患者按照不同医院分为对照组和试验组各50例。对照组按照标准采取背向冲洗后固定蝶形针输液,试验组采取任意方向冲洗后固定蝶形针输液。将两组患者化疗结束后取出的输液港实物进行底座和硅胶隔膜分离后观察和脉冲试验,判断输液港储液槽棉签染色程度等级以及荧光粉混悬液荧光色等级。结果两组储液槽棉签染色程度等级及储液槽内荧光粉混悬液荧光色等级差异无统计学意义(均P>0.05)。结论蝶形针任意方向脉冲冲洗不影响输液港储液槽冲洗效果,临床护士在开放输液港通路时,无需探查输液港座出口方向,准确穿刺、正确执行脉冲式手法即可。Objective To explore the effect of infusion port butterfly needle flushing in random direction versus traditional backward flushing on the residue in the port seat reservoir.Methods One hundred cancer patients with newly implanted infusion port were divided into a control group and an experimental group according to different hospitals,with 50 patients in each group.The control group took fixed butterfly needle infusion after backward flushing according to the standard,while the experimental group took fixed butterfly needle infusion after flushing in any direction.The physical infusion port was removed from the two groups at the end of chemotherapy to observe and conduct pulse experiments after separation of the base and silicone septum,so as to determine the grade of the degree of staining of the infusion port reservoir swab and the grade of fluorescent powder suspension fluorescent color.Results There weren't significant differences between the two groups in the grade of the degree of staining of the reservoir swab and the grade of fluorescent color of the phosphor suspension in the reservoir(both P>0.05).Conclusion Flushing the butterfly needle in random direction doesn′t affect the flushing effect of the infusion port reservoir,so it isn't necessary to probe the direction of the infusion port seat exit when clinical nurses opening the infusion port access,conducting accurate puncture and correct execution of the pulsatile maneuver are enough.

关 键 词：完全植入式静脉输液港 蝶形针 冲洗方向 储液槽 残留物 冲洗效果 

分 类 号：R472[医药卫生—护理学]