新生儿沐浴用留置针防水装置的设计及应用  

Design and Application of Waterproof Device for Indwelling Needle for Newborn Bathing

作　　者：林燕珠 林春燕 李丽端[1] LIN Yanzhu;LIN Chunyan;LI Liduan(Neonatal Intensive Care Unit,the Second Affiliated Hospital of Fujian Medical University,Quanzhou Fujian 362000,China)

机构地区：[1]福建医科大学附属第二医院新生儿监护病房,福建泉州362000

出　　处：《中国卫生标准管理》2024年第19期24-28,共5页China Health Standard Management

摘　　要：目的探讨自行设计的留置针防水装置在新生儿沐浴中的应用效果。方法选取2021年1—12月福建医科大学附属第二医院接受静脉留置针治疗且病情允许沐浴的新生儿252例为研究对象,将2021年1—6月采用常规保护套进行新生儿沐浴的静脉留置针患儿124例作为对照组,将2021年7—12月采用留置针防水装置进行新生儿沐浴的静脉留置针患儿128例作为观察组。对比2组沐浴后留置针的使用情况及静脉炎等并发症的发生情况。结果观察组留置针留置时间为(92.56±3.31)h,长于对照组的(65.44±4.13)h,非计划拔管率(2.34%)低于对照组(13.71%),差异均有统计学意义(P<0.05)。观察组静脉炎发生率(4.68%)低于对照组(22.58%),差异有统计学意义(P<0.05)。结论该留置针防水装置操作简便、安全,将其用于新生儿沐浴期间,可有效延长留置针的使用时间,减少非计划拔管,同时安全性良好,可降低静脉炎的发生概率。Objective To explore the application effect of selfdesigned indwelling needle waterproof device in neonatal bathing.Methods A total of 252 newborns who received intravenous catheter treatment and were allowed to bathe due to their condition from January to December 2021 at the Second Affiliated Hospital of Fujian Medical University were selected as the study subjects.A total of 124 children who received intravenous indwelling needle treatment with conventional protective sleeves from January to June 2021 were selected as the control group,and 128 children who received intravenous indwelling needle treatment with waterproof devices from July to December 2021 were selected as the observation group.The usage of indwelling needles and the incidence of complications such as phlebitis between two groups after bathing were compared.Results The retention time of the observation group′s indwelling needle was(92.56±3.31)h,longer than(65.44±4.13)d of the control group,the unplanned extubation rate(2.34%)was lower than the control group(13.71%),and the difference was statistically significant(P<0.05).The incidence of phlebitis in the observation group(4.68%)was lower than that in the control group(22.58%),and the difference was statistically significant(P<0.05).Conclusion The waterproof device for the indwelling needle is easy to operate and safe.When used during the bathing period of newborns,it can effectively prolong the use time of the indwelling needle,reduce unplanned unplugging,and has good safety,reducing the probability of venous inflammation.It can be widely used.

关 键 词：防水装置 新生儿 静脉留置针 沐浴 非计划拔管 静脉炎 

分 类 号：R715[医药卫生—妇产科学]