正压无针连接式留置针的临床应用效果

郭小丽1， 张弘炎2， 田翠芸3

(新疆医科大学第一附属医院1干部病房外科,2供应室,3手术室, 乌鲁木齐830054)

摘要：目的探讨正压无针连接式留置针的临床应用效果。方法随机抽取新疆医科大学第一附属医院干部病房外科静脉输液的患者131例，随机分为试验组(66例,使用正压无针式连接留置针)和对照组(65例,使用普通的正压无针式留置针)，比较两组患者输液过程中堵管、液体渗出、留置时间、静脉炎发生、护理工作时间及护理人员针刺伤发生等指标。结果试验组患者堵管率低于对照组，留置时间短于对照组，差异有统计学意义(P<0.05)，两组患者液体渗出率及静脉炎发生率比较差异无统计学意义(P>0.05)；对照组护理工作时间及针刺伤发生率均高于试验组，差异有统计学意义(P<0.05)。结论正压无针连接式留置针可以节省操作时间，降低了护士职业风险，同时还能保证患者的输液安全，减轻患者的痛苦及负担，值得在临床广泛推广使用。

关键词：输液； 堵管； 留置时间； 针刺伤； 护理操作

中图分类号：R45； R47文献标识码：A

doi:10.3969/j.issn.1009-5551.2015.07.034

[收稿日期：2014-11-20]

基金项目：2014年高校思想政治课教学方法改革项目“择优推广计划”培育项目； 新疆医科大学2013年度教育改革项目(YG 2013062)

作者简介：汤先萍(1974-),女,教授，硕士生导师,研究方向：马克思主义理论与实践研究, E-mail: xydtxp@126.com。

The clinical application effect of connecting retaining needle

of positive pressure

GUO Xiaoli1, ZHANG Hongyan2, TIAN Cuiyun3

(1TheCadreWardSurgery,2TheSupplyRoom,3TheOperatingRoom,

TheFirstAffiliatedHospitalofXinjiangMedicalUniversity,Urumqi830054,China)

Abstract：ObjectiveTo investigate the clinical effect of indwelling needle of positive pressure without needle. Methods131 cases of patients with intravenous infusion were randomly selected and divided into experimental group (with connecting indwelling needle of positive pressure) and the control group (with indwelling needle of common positive pressure). The two groups were observed during infusion; the data of pipe blocking, exudation, indwelling time, phlebitis, nursing operation time and the nursing staff of needle stick injury index were analyzed and compared by statistical methods. ResultsThe plugging rate in the experimental group was found lower than that of the control group, and the indwelling time higher than that of the control group, with statistically significant difference (P<0.05). There was no statistically significant difference in liquid leakage and phlebitis between the two groups (P>0.05). The nursing time and acupuncture incidence in the control group were found higher than that in the experimental group (P<0.05). ConclusionIt proved that the connecting retaining needle of positive pressure can save operation time, reduce the nursing risk, ensure the safety of transfusion and alleviate pain and burden of patients, which deserved clinical application and promotion.

Key words: infusion, tube plugging, indwelling time, needle stick injuries, nursing operation

静脉留置针以能够减轻患者反复穿刺的痛苦、减少护理工作量等优点，广泛应用于临床输液治疗[1]，但在实际应用过程中，管道堵塞、液体渗漏及护理人员针刺伤等的发生率较高。黄玉荣等[2]报道，使用静脉留置管可以导致静脉炎，长期使用可能会导致静脉管堵塞、液体渗出等。正压无针连接式留置针通过独特的双重正压机制及无针连接方式，减少了普通留置针易回血堵管、输液流速受限等问题，而且设计人性化、便于操作，可减少护理人员针刺伤的发生率，提高了护理人员的工作效率[3]。……