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静脉留置针改良正压封管技术应用效果观察 被引量:10
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作者 戚晓梅 任国琴 +2 位作者 丁新红 刘婷 张小花 《中西医结合护理(中英文)》 2017年第5期112-114,共3页
目的观察静脉留置针改良正压封管技术的应用效果。方法 100例静脉留置针患者随机分为对照组和观察组,各50例。对照组采用注射器脉冲式正压带液拔针封管的方法,观察组采用改良正压封管技术进行封管。比较2组留置针回血率、堵管率、静脉... 目的观察静脉留置针改良正压封管技术的应用效果。方法 100例静脉留置针患者随机分为对照组和观察组,各50例。对照组采用注射器脉冲式正压带液拔针封管的方法,观察组采用改良正压封管技术进行封管。比较2组留置针回血率、堵管率、静脉炎发生情况以及留置时间。结果观察组的封管效果明显优于对照组,回血率、堵管率和静脉炎的发生率均低于对照组(P<0.05),留置时间显著长于对照组(P<0.01)。结论静脉留置针封管方法的改良能有效降低回血率、堵管率和静脉炎的发生情况,减轻患者痛苦。 展开更多
关键词 正压封管 静脉留置针 堵管 静脉炎 留置时间
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PET/CT检查注射^(18)F-FDG方法研究 被引量:7
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作者 沈赛娟 丁有玲 +3 位作者 吴佳佳 潘博 谢吉奎 展凤麟 《护理学杂志》 CSCD 2017年第10期52-55,共4页
目的比较PET/CT检查经留置针和头皮针注射^(18)F-2-氟-2-脱氧-D-葡萄糖(^(18)F-FDG)的差异,探讨预置留置针用于PET/CT检查的可行性。方法将120例行PET/CT检查患者按检查时间段分为对照组、模型1组和模型2组,对照组按常规方法采用头皮针... 目的比较PET/CT检查经留置针和头皮针注射^(18)F-2-氟-2-脱氧-D-葡萄糖(^(18)F-FDG)的差异,探讨预置留置针用于PET/CT检查的可行性。方法将120例行PET/CT检查患者按检查时间段分为对照组、模型1组和模型2组,对照组按常规方法采用头皮针注射18F-FDG,模型1组和模型2组采用留置针注射^(18)F-FDG,注射前生理盐水冲洗量均为3 mL,注射后分别为5 mL、5mL、10mL,比较三组残留放射性活度;同期选择45例已预置留置针的患者为实验组,采用留置针注射并不拔除留置针,注射前后生理盐水冲冼量分别为5mL、10mL,与对照组比较放射性浓聚、药物污染、受辐射时间的差异。结果对照组与实验组放射性浓聚及药物污染发生率、受辐射时间比较,差异无统计学意义(均P>0.05);模型1组残留放射性活度显著高于对照组(P<0.05)。结论 PET/CT检查可经预置留置针注射18F-FDG,使用时须增加冲洗管道的生理盐水量。 展开更多
关键词 PET/CT检查 ^18F-FDG 留置针 头皮针 注射途径 放射性活度 药物污染 放射性浓聚
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Application of Midline Catheter in Patients with Oral Cavity Malignancies during Perioperative Period
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作者 Yuexuan Chen Simin Wang +1 位作者 Yaoyao Chen Yongqin Lin 《Journal of Cancer Therapy》 CAS 2022年第10期621-629,共9页
Objective: The study aims to compare the application value of midline catheter and indwelling needle in patients with oral cavity malignancies during perioperative period. Methods: 146 patients with oral cavity malign... Objective: The study aims to compare the application value of midline catheter and indwelling needle in patients with oral cavity malignancies during perioperative period. Methods: 146 patients with oral cavity malignancies admitted to our hospital from January 2019 to July 2021 were selected as the research subjects. 73 patients treated with midline catheters during the treatment were the experimental group, and another 73 patients were treated with indwelling needles as the control group. The indwelling time, total number of puncturing times, and incidence of adverse reactions of two catheterization methods were compared between the two groups. Meanwhile, each patient was investigated for treatment satisfaction. Result: The indwelling time was significantly longer in the experimental group than in the control group (P < 0.0001), and the total number of puncturing times in the experimental group was significantly lower than that in the control group (P < 0.0001). The incidence of adverse reactions in the experimental group (χ<sup>2</sup> = 4.960, P = 0.0259) was significantly lower than that in the control group in terms of catheter occlusion (χ<sup>2</sup> = 12.56, P = 0.0004), catheter detachment (χ<sup>2</sup> = 8.46, P = 0.0036), drug extravasation (χ<sup>2</sup> = 3.27, P = 0.0011), phlebitis (χ<sup>2</sup> = 3.62, P = 0.0003), and bleeding from the puncture point (χ<sup>2</sup> = 14.98, P = 0.0001). The satisfaction rate (χ<sup>2</sup> = 33.45, P < 0.0001) and fundamental satisfaction rate (χ<sup>2</sup> = 16.57, P < 0.0001) in the experimental group were significantly higher than those in the control group, while the dissatisfaction rate was significantly lower than that in the control group (χ<sup>2</sup> = 11.38, P = 0.0007). The difference is statistically significant. Conclusion: Compared with indwelling needle, the application of midline catheters in patients with oral cavity malignancies during perioperative period can effectively reduce the number of puncturing times and the incidence of c 展开更多
关键词 Oral Cavity Malignancy Midline catheter indwelling needle Adverse Reactions
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大肠癌引流淋巴结转移及NLR与预后关系 被引量:1
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作者 方宇 王海娟 +1 位作者 李征洋 张黎 《西南国防医药》 CAS 2020年第2期93-96,共4页
目的探讨大肠癌引流淋巴结转移相关指标及中性粒细胞/淋巴细胞(NLR)与患者预后的关系及其对预后的诊断意义。方法收集医院2012年1月~2014年10月经根治性手术治疗的大肠癌患者98例临床资料,统计患者5年生存率,分析阳性淋巴结数(NPLN)、... 目的探讨大肠癌引流淋巴结转移相关指标及中性粒细胞/淋巴细胞(NLR)与患者预后的关系及其对预后的诊断意义。方法收集医院2012年1月~2014年10月经根治性手术治疗的大肠癌患者98例临床资料,统计患者5年生存率,分析阳性淋巴结数(NPLN)、阴性淋巴结数(NNLN)、阳性淋巴结数占比(LNR)、阳性淋巴结对数比(LODDS)及NLR与患者5年生存情况的关系,探讨各指标对大肠癌患者预后的预测价值。结果本组98例的5年总生存率为55.10%,无复发生存率为47.96%;Log-rank法分析结果,肠癌类型、术后是否进行辅助治疗、肿瘤淋巴转移(TNM)分期、有无脉管或神经侵犯、NPLN、NNLN、LNR、LODDS及NLR等与患者5年生存率具有相关性(P<0.05);Cox多因素回归分析结果,NPLN、NNLN、LNR、LODDS及NLR为影响大肠癌患者5年生存率的独立危险因素(P<0.05);R0C总生存率曲线下,NPLN、NNLN LNR、LODDS及NLR 5项联合检测的预测效能均高于各单项单独预测效能(P<0.05)。结论NPLN、NNLN、LNR、LODDS及NLR均为影响大肠癌患者预后的独立危险因素,均可作为预测大肠癌患者预后生存情况的独立预测因子。 展开更多
关键词 大肠癌 淋巴结 转移 预后 价值
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肝硬化患者不同型号静脉留置导管针的随机对照研究 被引量:1
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作者 李罗红 周霜 +3 位作者 陈丽 杨小莉 欧艳 袁丽 《西南国防医药》 CAS 2020年第2期100-102,共3页
目的比较研究肝硬化住院患者最适型号的外周静脉留置导管针。方法选取住院的200例肝硬化失代偿期患者,随机分为观察组与对照组,各100例。对照组采用22G留置导管针进行静脉穿刺,观察组采取24G留置导管针进行静脉穿刺,比较两组静脉穿刺处... 目的比较研究肝硬化住院患者最适型号的外周静脉留置导管针。方法选取住院的200例肝硬化失代偿期患者,随机分为观察组与对照组,各100例。对照组采用22G留置导管针进行静脉穿刺,观察组采取24G留置导管针进行静脉穿刺,比较两组静脉穿刺处静脉炎的发生情况、留置导管针的留置最长时间、穿刺部位的疼痛感、一针穿刺成功率。结果观察组穿刺处静脉炎的发生率明显低于对照组(P<0.05);在留置导管针的留置最长时间、对穿刺部位疼痛感受、一针穿刺成功率方面,观察组均明显优于对照组(P<0.05)。结论肝硬化住院患者宜选择成人最小型号24G留置导管针进行外周静脉穿刺,能降低穿刺处的静脉炎,减轻穿刺部位的疼痛感受,提高一针穿刺成功率,延长导管针的最长留置时间。 展开更多
关键词 留置导管针 肝硬化 静脉炎 疼痛感受 留置时间
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The Application of Midline Catheter in Perioperative Period of Patients with Laryngopharyngeal Cancer
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作者 Yongqin Lin Yiqing Zhou Yuexuan Chen 《Journal of Cancer Therapy》 2023年第9期373-381,共9页
Objective: To investigate the application value of midline catheters in patients with larynx cancer during the postoperative period. Methods: 150 patients with larynx cancer treated in our hospital from May 2019 to Ma... Objective: To investigate the application value of midline catheters in patients with larynx cancer during the postoperative period. Methods: 150 patients with larynx cancer treated in our hospital from May 2019 to May 2022 were selected as the study objects. According to the random number method, 75 cases were divided into a control group and a study group. The study group used a midline catheter during treatment, and the control group used a Peripheral venous indwelling needle during treatment. The indwelling time, puncture times, complication rate, daily catheter maintenance cost and catheterization satisfaction rate of the two groups were compared. Result: The retention time of the study group (11.53 ± 6.91 days) was significantly higher than that of the control group (2.92 ± 1.41 days) (P . The total puncture times were significantly lower than that of the control group (P cidence of complications such as catheter blockage, catheter detachment, drug extravasation and phlebitis were lower than those of the control group. The difference was statistically significant (P < 0.05), the average daily maintenance cost of the two groups was not statistically significant (P > 0.05), and the satisfaction rate of the study group was significantly higher than that of the control group, the difference was statistically significant (P Conclusion: Compared with the Peripheral venous indwelling needle, postoperative application of a midline catheter in patients with larynx cancer can effectively reduce the number of puncture times and the incidence of catheter-related adverse reactions, and has higher economic benefits and satisfaction rate, which is worthy of clinical application. 展开更多
关键词 Larynx Cancer Postoperative Period Midline catheter Peripheral Venous indwelling needle
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