摘要
目的 研究小儿静脉留置针置入长度与外套管根部打折率的关系,旨在提高医护人员的工作效率和减轻患儿及家属的身心痛苦。方法 将本院儿科选取的住院患儿纳为研究对象,均为首次实施静脉留置针置管且穿刺一次性成功患儿,总计200例,病例收集时间为2018年6月至2020年1月。根据随机抽签法将其分为两组,对照组100例,进行留置针置管的过程中完全置入外套管;观察组100例,进行留置针置管的过程中不完全置入外套管,在皮外余2~3 mm。最后对两组的静脉留置针打折率及留置时间进行统计分析。结果 留置第2天,观察组患儿留置针打折率为4.00%,对照组患儿留置针打折率为14.00%,留置第3天,观察组患儿留置针打折率为5.00%,对照组患儿留置针打折率为13.00%,留置第4天,观察组患儿留置针打折率为7.00%,对照组患儿留置针打折率为16.00%,留置第2、3、4天时,观察组的静脉留置针打折率均低于对照组,P <0.05。观察组的静脉留置针留置时间为(90.75±4.62)h,明显长于对照组的(80.82±5.94)h,P <0.05。结论 在进行留置针置管的过程中不完全置入外套管,余2~3 mm在皮外可以有效降低外套管与留置针的打折率及延长留置时间。
Objective To study the relationship between the length of venous indwelling needle in children and the discount rate of the root of the outer cannula,in order to improve the work efficiency of medical staff and reduce the physical and mental pain of children and their families.Methods The hospitalized children selected by the Department of Pediatrics of our hospital were included as the research subjects.They were all children who underwent intravenous indwelling needle cannulae for the first time and successfully punctured at one time,with a total of 200 cases.The case collection time was from June 2018 to January 2020.According to the random drawing method,they were divided into two groups,100cases in the control group,the outer cannula was completely placed during the indwelling needle placement process;100 cases in the observation group,the outer cannula was not completely placed during the indwelling needle placement process.There is 2-3 mm left in the skin.Finally,the discount rate and indwelling time of venous indwelling needles in the two groups were statistically analyzed.Results On the second day of indwelling,the discount rate of indwelling needles in the observation group was 4.00%,and the discount rate of indwelling needles in the control group was 14.00%.On the third day of indwelling,the discount rate of indwelling needles in the observation group was 5.00%.The discount rate of indwelling needles in children was 13.00%.On the fourth day of indwelling,the discount rate of indwelling needles in the observation group was 7.00%,and the discount rate of indwelling needles in children in the control group was 16.00%.The discount rate of venous indwelling needles was lower than that of the control group,P<0.05.The indwelling time of intravenous indwelling needles in the observation group was(90.75±4.62) hours,which was significantly longer than that in the control group(80.82±5.94) hours,P<0.05.Conclusion In the process of indwelling needle placement tube,the outer cannula is not completely placed,and the remaining 2-3 mm outside the skin can effectively reduce the discount rate of the outer cannula and the indwelling needle and prolong the indwelling time.
作者
高昊
GAO Hao(Fuxin Mine General Hospital of Liaoning Health Industry Group,Fuxin 123000,China)
出处
《中国医药指南》
2022年第16期171-173,共3页
Guide of China Medicine
关键词
小儿
静脉留置针
置入长度
外套管根部
打折率
Children
Venous indwelling needle
Insertion length
Outer tube root
Discount rate
