中线导管在血管外科护理工作中的应用  

Application of Midline Catheter in Vascular Surgery Nursing

作　　者：李荣辉[1] 谷小燕[1] 曹军容[1] Li Ronghui;Gu Xiaoyan;Cao Junrong(Xiangyang Central Hospital(Affiliated Hospital of Hubei University of Arts and Science),Xiangyang 441021,Hubei Province,China)

机构地区：[1]襄阳市中心医院(湖北文理学院附属医院),湖北襄阳441021

出　　处：《中国社区医师》2023年第24期74-76,共3页Chinese Community Doctors

摘　　要：目的:探讨中线导管在血管外科护理工作中的应用效果。方法:选取2021年2—12月襄阳市中心医院血管外科住院患者100例作为研究对象,以随机数字表法分为两组,各50例。对照组使用外周静脉留置针置管,观察组使用中线导管置管。比较两组一次性穿刺成功率、导管留置时间、并发症发生情况、置管效果、护理满意度。结果:观察组一次性穿刺成功率高于对照组,导管留置时间长于对照组,差异有统计学意义(P <0.05)。两组出血、堵管、意外拔管、血栓形成、局部感染、输液渗出发生率比较,差异无统计学意义(P>0.05);观察组静脉炎发生率低于对照组,差异有统计学意义(P=0.021)。观察组穿刺、疼痛、舒适度及置管评分高于对照组,差异有统计学意义(P<0.001)。观察组总满意度高于对照组,差异有统计学意义(P=0.002)。结论:中线导管在血管外科护理工作中的应用效果显著,能够提高一次性穿刺成功率、置管效果、护理满意度,降低静脉炎发生风险。Objective:To explore the application effect of midline catheter in nursing work of vascular surgery department.Methods:A total of 100 inpatients in the Vascular Surgery Department of Xiangyang Central Hospital from February 2021 toDecember 2021 were selected as the study subjects.They were divided into two groups according to random number table method,with 50 cases in each group.The control group used peripheral intravenous indwelling needles and the observation group usedmidline catheter.The one-time puncture success rate,catheter indwelling time,complications,catheterization effect,and nursingsatisfaction were compared between the two groups.Results:The one-time puncture success rate in the observation group washigher than that in the control group,and the catheter indwelling time in the observation group was longer than that in the controlgroup,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence ofbleeding,blockage,accidental extubation,thrombosis,local infection and infusion effusion between the two groups(P>0.05).Theincidence of phlebitis in the observation group was lower than that in the control group,and the difference was statisticallysignificant(P=0.021).The scores of puncture,pain,comfort and catheterization in the observation group were higher than those inthe control group,and the differences were statistically significant(P<0.001).The total satisfaction in the observation group washigher than that in the control group,and the difference was statistically significant(P=0.002).Conclusion:The application effectof midline catheter in nursing work of vascular surgery department is remarkable,which can improve the one-time puncturesuccess rate,catheterization effect,nursing satisfaction,and reduce the risk of phlebitis.

关 键 词：中线导管 血管外科 满意度 疼痛程度 

分 类 号：R473.6[医药卫生—护理学]