静脉留置针在门诊小儿输液中的应用

The vein detain needle in the out-patient service child lose the liquid of application

目的探讨保证门诊小儿静脉留置安全的方法。方法102例患儿按年龄段分为3组,学龄前及学龄期儿童(3～12周岁)12人为C组,采用手背静脉留置;婴幼儿90例分为A、B两组,均采用头皮静脉留置,采用相同的材料和方法进行静脉留置;观察发生脱出、外渗、阻塞和静脉炎的例数。结果102例观察对象中,C组无一例发生套管脱出、阻塞、液体外渗及静脉炎;A、B两组比较,发生套管脱出例数,有显著差异(P<0.05),外渗、阻塞、静脉炎发生例数无统计学意义(P>0.05)。结论护士严格执行各项操作规程;加强健康宣教,指导家长做好家庭护理;根据不同年龄段孩子特点及各个孩子的具体情况,选择性地进行静脉留置,可保证门诊小儿静脉留置安全。

Objective Purpose To explore ways to ensure patient safety pediatric intravenous catheter method. Methods 102 cases of children by age group is divided into 3 groups, preschool and school-age children （ 3 - 12 years old） 12 C, using the back of the hand intravenous catheter ;90 cases of infants and young children are divided into A, B groups are using the scalp vein retention, using the same materials and method of intravenous catheter ; happened to observe extrusion,leakage, obstruction and the number of cases of phlebitis. Re. suits Observation of 102 cases of objects, C group and no case happened casing extrusion, obstruction, fluid extravasation and phlebitis;A, B group compared to the number of cases happen extrusion casing, there is signifi- cant difference （ P 〈 0. 05 ）, extravasation, obstruction, phlebitis occurred in the number of cases was not signifi- cant （ P 〉 0. 05 ）. Conclusion Nurses to enforce the rules ; the enhancement of health education to help parents do a good job in home care;Children of different ages and characteristics of the specific circumstances of each child, to carry out selective intravenous catheter, to ensure pediatric patient safety intravenous catheter.