Objective:To investigate the effect of using peripheral medium-length catheters in critically ill patients undergoing hepatobiliary surgery.Methods:A retrospective analysis of the nursing experience and effect of usin...Objective:To investigate the effect of using peripheral medium-length catheters in critically ill patients undergoing hepatobiliary surgery.Methods:A retrospective analysis of the nursing experience and effect of using medium-length catheters for infusion in 102 critically ill patients undergoing hepatobiliary surgery from March 2021 to April 2022 was conducted.Results:All 102 patients had successful catheter placement with no catheter-associated infections,blockage,decannulation,or breakage.However,four cases had blood oozing from the puncture site,but it resolved after changing the dressing.Conclusion:Medium-length catheters are superior to traditional infusion tools in terms of benefit;thus,they deserve to be widely promoted in clinical practice.展开更多
目的探讨改良型中等长度导管在输注高渗液的临床应用优势。方法简单随机选取该院2019年3月─2020年4月100例给予高渗液20%甘露醇和/或甘油果糖静脉输液治疗的患者,根据随机数字表法将100例患者分成留置针组(intravenous catheter for si...目的探讨改良型中等长度导管在输注高渗液的临床应用优势。方法简单随机选取该院2019年3月─2020年4月100例给予高渗液20%甘露醇和/或甘油果糖静脉输液治疗的患者,根据随机数字表法将100例患者分成留置针组(intravenous catheter for single use,IVC)和改良型中等长度导管组(midline catheters,MC),各50例,观察两组患者在导管留置期间并发症发生率。结果通过对两组导管留置期间并发症发生率进行统计对比,结果显示中等长度导管组(MC组)的静脉炎、渗出的发生率分别为0.00%、4.00%,较留置针组(IVC组)的18.00%、16.00%的发生率相比明显更低,两组比较差异有统计学意义(χ^(2)=7.814、4.000,P<0.05);此外,留置针组(IVC组)还出现4例非计划拔管,中等长度导管组还出现1例导管断裂/移位、1例非计划拔管、1例其他堵管。其他静脉血栓、CRBSI并发症两组均未发生。结论改良型中等长度导管较留置针用于神经内外科患者输注高渗药物有明显的优势,留置时间基本能满足患者的输液要求,且并发症发生率低,保证了患者治疗的有效性与安全性,值得临床推广应用。展开更多
文摘Objective:To investigate the effect of using peripheral medium-length catheters in critically ill patients undergoing hepatobiliary surgery.Methods:A retrospective analysis of the nursing experience and effect of using medium-length catheters for infusion in 102 critically ill patients undergoing hepatobiliary surgery from March 2021 to April 2022 was conducted.Results:All 102 patients had successful catheter placement with no catheter-associated infections,blockage,decannulation,or breakage.However,four cases had blood oozing from the puncture site,but it resolved after changing the dressing.Conclusion:Medium-length catheters are superior to traditional infusion tools in terms of benefit;thus,they deserve to be widely promoted in clinical practice.
文摘目的探讨改良型中等长度导管在输注高渗液的临床应用优势。方法简单随机选取该院2019年3月─2020年4月100例给予高渗液20%甘露醇和/或甘油果糖静脉输液治疗的患者,根据随机数字表法将100例患者分成留置针组(intravenous catheter for single use,IVC)和改良型中等长度导管组(midline catheters,MC),各50例,观察两组患者在导管留置期间并发症发生率。结果通过对两组导管留置期间并发症发生率进行统计对比,结果显示中等长度导管组(MC组)的静脉炎、渗出的发生率分别为0.00%、4.00%,较留置针组(IVC组)的18.00%、16.00%的发生率相比明显更低,两组比较差异有统计学意义(χ^(2)=7.814、4.000,P<0.05);此外,留置针组(IVC组)还出现4例非计划拔管,中等长度导管组还出现1例导管断裂/移位、1例非计划拔管、1例其他堵管。其他静脉血栓、CRBSI并发症两组均未发生。结论改良型中等长度导管较留置针用于神经内外科患者输注高渗药物有明显的优势,留置时间基本能满足患者的输液要求,且并发症发生率低,保证了患者治疗的有效性与安全性,值得临床推广应用。
