摘要
目的分析小儿静脉留置针输液中止留置原因,探讨护理方法。方法对98例住院患儿采用静脉留置针输液治疗,观察不同部位留置针管留置的时间和静脉炎、堵管、针体滑出等的发生率。结果头皮静脉留置时间最长,与手背静脉比较差异无显著性(P>0.05),但头皮静脉与大隐静脉、足背静脉留置时间比较;差异均有显著性(P<0.01)。手背静脉与大隐静脉、足背静脉比较差异均无显著性(P>0.05)。大隐静脉与足背静脉比较差异也无显著性(P>0.05)。而留置针的置管部位与静脉炎、堵管、针体滑出等无明显关系。结论婴幼儿穿刺以头皮静脉为首选,其次是手背静脉,掌握正确的穿刺技术及固定好套管针可以提高静脉留置效果。
Objective To analyze the cause of suspension in infants＇ intravenous indwelling needle and to explore the nursing measures. Methods 98 hospitalized infants received infusion through intravenous indwelling needle; the indwelling time -length of the indwelling needles at different sites and the occurrence of phlebitis, the blockage and slipping out of the trocar were observed. Result The indwelling needle in scalp vein indweh for the longest time and was of no obvious difference with that in hand vein （ P 〉0. 05 ） while it was of significant difference with those in saphenous vein and domalis pedis vein （ P 〈 0. 01 ） ; the indwelling time of the needle in hand vein was of no difference with those in saphenous vein and dorsalis pedis vein （ P 〉 0. 05 ）; the indwelling time of the needle in saphenous vein was of no obvious difference with that in dorsalis pedis vein （ P 〉 0. 05 ） ; there existed no obvious correlation between the sites of puncture and the occurrence of phlebitis, the blockage and slipping out of the trocar. Conclusions Scalp vein is the first choice for puncture in infants and the secondary choice is hand vein ; correct master of puncture technique and good fixation of trocar may raise the effect of intravenous indwelling.
出处
《西南军医》
2009年第5期852-853,共2页
Journal of Military Surgeon in Southwest China
关键词
患儿
留置针
中止原因
护理
infants indwelling needle the cause of suspension nursing
