摘要
目的探讨迷你中长导管与静脉留置针在内镜逆行胰胆管造影取石术老年患者输液中的临床使用效果。方法将行内镜逆行胰胆管造影取石术的140例老年患者按住院时间分为对照组与观察组各70例。对照组使用外周静脉留置针输液,观察组经B超引导下置入迷你中长导管输液。比较两组置管操作时间、导管的留置时间、并发症发生率及患者满意度。结果观察组置管操作时间、导管留置时间显著长于对照组,静脉炎、穿刺点渗血渗液和导管堵塞发生率显著低于对照组,患者满意度显著高于对照组(均P<0.05)。结论迷你中长导管相较于外周静脉留置针,虽然置管操作时间较长,但留置期间并发症发生率低、留置时间长,可更好地满足内镜逆行胰胆管造影取石术后老年患者大量静脉输液治疗的需求。
Objective To compare the clinical effectiveness of mini-midline catheter versus peripheral intravenous catheter in older patients undergoing endoscopic retrograde cholangiopancreatography(ERCP)for stone removal.Methods A total of 140 older patients undergoing ERCP for stone removal were chronologically divided into two groups,with 70 in each group.The control group received intravenous infusion using peripheral intravenous catheter,while the observation group used mini-midline catheter inserted under ultrasound guidance for infusion.The catheter insertion time,indwelling duration,incidence of complications,and patient satisfaction were compared between the two groups.Results The observation group required more catheter insertion time than the control group(P<0.05).However,the observation group had longer indwelling duration,lower incidence of phlebitis,leakage at the puncture site,and catheter blockage,as well as higher patient satisfaction compared with the control group(all P<0.05).Conclusion Although mini-midline catheter requires a longer insertion time compared with peripheral intravenous catheter,it is associated with a lower incidence of complications and a longer indwelling duration.Thus,mini-midline catheter better meets the intravenous infusion needs of older patients after ERCP for stone removal.
作者
王文歆
赵艳
徐梅
聂媛媛
孙晓敏
刘静
Wang Wenxin;Zhao Yan;Xu Mei;Nie Yuanyuan;Sun Xiaomin;Liu Jing(Gastroenterology Department,Xi′an No.3 Hospital,Xi′an 710018,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第21期59-61,84,共4页
Journal of Nursing Science
基金
西安市科技计划项目[201805094YX2SF28(2)]。
关键词
老年患者
胆总管结石
留置针
迷你中长导管
超声引导
静脉治疗
静脉炎
导管堵塞
older patients
choledocholithiasis
indwelling catheter
mini-midline catheter
ultrasound guidance
intravenous therapy
phlebitis
catheter blockage
