摘要
目的探讨不同剂量肝素封管液在老年浅静脉置管的临床应用。方法将400例使用浅静脉留置针的老年患者随机分为4组,每组100例,观察组采用肝素稀释液50 ml(含肝素6.25 U/ml)封管,对照组分别采用肝素稀释液(含肝素钠62.5 U/ml)10 ml、5 ml、2 ml封管。结果4种封管方法置管前、拔针后24 h PT、APTT、Fbg结果与正常对照无明显差异,组间比较差异无统计学意义(P>0.05);4种方法日平均输液最大流速比较差异有统计学意义(F=8.97,P<0.001),观察组明显优于对照组;4种肝素封管液封管维持时间18~19 h,再通率100%,组间比较差异无统计学意义;观察组静脉炎发生例数明显少于对照组(Hc=11.10,P<0.025)。结论50 ml肝素封管液(含肝素钠6.25 U/ml)更适合无肝素使用禁忌的老年患者使用。
Objective To evaluate the different dose heparin in the elderly closure of the superficial venous catheter clinical applications. Method 400 elderly patients with superficial vein indwelling needle were selected and randomly divided into four groups, each group 100 eases, the observation group adopted 50 ml heparin dilute liquid （containing heparin 6.25 U /ml ）, the control groups adopted separately heparin dilute liquid （containing heparin 62.5 U /ml） 10ml, 5ml and 2ml. Result Before the four different doses of heparin closure of the needle, after removed the needle, 24 h PT, APTT, Fbg results was no significant difference among groups （P〉0.05） ; 4 kinds of methods of the daily average infusion of maximum velocity were compared, there was significant difference （P〈 0. 001）. The result in observation group were better than the control groups; four groups of different heparin the maintenance time is 18-19 h, recanalization rate was 100 %, there was no significant difference among groups. The rate of phlebitis in observation group was less than that of the control group （P^0. 025）. Conclusion 50 ml heparin liquid （containing heparin 6.25 U/ml） was more suitable for the use of the taboo without heparin use in elderly patients.
出处
《护士进修杂志》
北大核心
2008年第19期1737-1739,共3页
Journal of Nurses Training
基金
广西医疗卫生科研课题(桂卫Z2005-214)
关键词
静脉留置针
肝素封管液
老年人
护理
Intravenous catheter needle Heparin closure of the Liquid Elderly Nursing
