摘要
目的了解静脉留置针穿刺的最佳部位及护理体会。方法将120例患者随机分成五组,进行不同部位(手背静脉、肘正中静脉、头皮静脉、贵要静脉、大隐静脉等)静脉留置针穿刺并观察。观察项目包括平均穿刺时间、留置时间及留置针应用期间是否有皮下血肿、液体渗漏、导管堵塞、静脉炎、静脉血栓形成等。结果经临床观察,血管弹性、穿刺时间、护理等方面均影响静脉留置针留置时间。其中头皮静脉固定不宜滑动、静脉回流好,留置针留置时间及并发症的发生与其他部位比较,差异均有统计学意义(P<0.05)。结论留置针穿刺最好选在固定不易滑动的部位,如头皮静脉,静脉留置针置管期间应加强穿刺部位及留置针的护理,以延长留置针的使用时间及预防并发症的发生。
Objective To understand the best part of venipuncture for intravenous catheter indwelling and nursing experience.Methods 120 patients were randomly divided into five groups,carried out venipuncture for intravenous catheter indwelling in different parts（dorsal hand vein,median cubital vein,scalp vein,basilic vein,saphenous vein,etc.） and observed the indexes including average puncture time,retention time and subcutaneous hematoma during catheter applications,liquid leakage,catheter blockage,phlebitis,venous thrombosis.Results By clinical observation,blood vessel elasticity,puncture time and nursing all had the influence on catheter indwelling time.The scalp vein was fixed and not suitable to slide with good venous return.The difference in catheter indwelling time and complications compared with other parts had statistical significance（P0.05）.Conclusion The best part of venipuncture indwelling catheter is preferably in the site difficult to slide,such as the scalp vein.The puncture site and catheter care should be strengthened to extend its use time and prevent complications occurrence during intravenous indwelling catheter.
出处
《现代医药卫生》
2013年第1期58-59,共2页
Journal of Modern Medicine & Health
关键词
导管
留置
输注
静脉内
护理
静脉留置针
留置时间
Catheters
indwelling
Infusions
intravenous
Nursing care
Venous catheter
Indwelling time
