新生儿浅静脉留置针穿刺及固定两种不同方法的效果探讨

目的探讨两种不同穿刺及固定方法在新生儿浅静脉留置针穿刺中的临床效果。方法将160例就诊于儿科的新生儿随机平分为对照组和实验组,每组80例,对照组采用常规静脉留置针穿刺送管方法,主要采用传统的穿刺见回血后将套管和针芯同时送入血管再退针芯的进针方法,固定采用3M无菌透明敷贴覆盖针眼及部分针梗处,再用胶布交叉固定外露针梗"Y"型尾端;实验组采用改良穿刺送管方法,在见回血后将针芯退出4mm,再将套管完全送入,然后将针芯全部退出的改良方法,固定时将敷贴全部覆盖住进针处针眼及全部针梗,将余下留置针软管部分用2条胶布横行固定与敷贴上方。比较两组患儿的固定效果和感染发生情况。比较两组静脉留置针的穿刺成功情况、发生松脱情况和进针处发生感染的情况。结果实验组与对照组静脉留置针穿刺一次成功率为93.8%和75.0%,发生松脱率分别为3.8%和18.8%,感染率为1.3%和13.3%,两组比较具有显著的统计学意义,P<0.05。结论改良方法在新生儿静脉留置针的穿刺及固定效果明显优于常规方法,值得临床进一步推广。

Objective To explore the two different tube to send and the fixed in the neonatal intravenous indwelling needle aspiration in the clinical effect. Methods 160 cases received treatment in hospital pediatric neonatal level randomly divided into control and experimental groups of 80 cases, Control group using conventional intravenous catheter needle aspiration to send the tube method, mainly using the traditional back to the blood continued to needle casing and needle core at the same time; experimental group improved punc^re send tube back to the blood after the needle core exit 4 ram, and thentube fully into the core needle to withdraw from the improved method, and then were used applicator fixed. Traditional puncture, see back to the blood after the casing and core needle into the blood vessel passed on to the needle of the needle core. Fixed with 3 M transparent sterile applicator to cover the eyeof a needle and some needle stems at the end and then the tape cross fixed the exposed needle stems “Y” experimental group improved puncture to send the tube method, see back to the blood after the needle core exit 4mmthen completely into the casing, and then to withdraw from the improved method of needle core, fixed applicator covering all admitted to the needle at the eye of a needle and all the pin stern, the remaining indwelling needle hose part two tape rampant fixed andSticking the top.Comparison of two groups of the indwelling needle puncture success, the occurrence of loose infections and needle took place. Results The results of the experimental group vein indwelling catheter for a success rate of 93.8% and 75.0% in the control group, the occurrence of loose rates were 18.8.0% and 3.8% infection rate was 13.3% and 1.3%, the two groups, with statistically significant difference of P〈0.05. Conclusion Improvement in neonatal intravenous catheter needle puncture and fixed effects significantly superior to conventional methods, is worthy of further promotion.