手术患者静脉输液的安全管理

目的探讨提高手术患者静脉输液安全的方法及管理措施。方法取2004年1～6月在普外科择期手术行全麻的108例成人患者作为非评估组，由护士不作评估直接进行静脉穿刺。将2005年同期的152患者作为评估组，护士综合评估、决策后再选择留置针头开放静脉，并采用分步法静脉输液和输液安全管理。结果实施静脉输液安全管理后，一次穿刺成功率从85．2％提高到96．7％（P〈0．05），未发生输液并发症。结论实施静脉输液安全管理，能减轻患者痛苦，提高手术安全性。

Objective To study the methods and management measures in operating room for the safety of intravenous transfusion. Methods 108 patients, admitted to the general surgery from Jan to Jun in 2004, received direct venous puncture without being assessed. 152 patients, from Jan to Jun in 2005, received venous puncture after synthetic evaluation. Proper trochar, step-by- step method and safety management was also applied on patients＇ intravenous transfusion. Results After safety management for patients＇ intravenous transfusion, the success rate of venous puncture was improved from 85. 2% to 96.7% （P 〈 0. 05 ） and no complications occurred. Conclusion Executing safety management for intravenous infusion can alleviate patients＇ pain and improve surgical safety.