浅静脉留置针贴膜开窗应用后临床效果的观察

After the shallow vein leaving alone needle pastes the membrane to open the window application clinical effect observation

目的：探讨减少浅静脉留置针贴膜（以下简称贴膜）更换次数,减少静脉炎的发生,延长静脉留置针留置时间的方法.方法：将402例使用浅静脉留置针患者随机分为实验组（贴膜开窗组）和对照组（完整贴膜组）.开窗组穿刺后将贴膜中间开一窗口贴于穿刺处,用一次性输液敷贴覆盖,每天消毒穿刺口,并更换输液敷贴,除贴膜与皮肤分离外,不更换贴膜;对照组每天及时更换贴膜.结果：试验组与对照组在留置针脱出率上具有极显著性意义（P＜0.01）;在局部的反应如穿刺点疼痛、红斑、肿胀、静脉条索状、穿刺点渗出等静脉炎发生率上差异有显著性意义（P＜0.05）.结论：实验组能减少贴膜的更换次数,减少了留置针脱出率和静脉炎的发生率,延长静脉针的留置时间.

Objective：The discussion reduces the shallow vein leaving alone needle to paste the membrane （to hereafter refer to as pastes membrane） to replace the number of times, reduces the phlebitis the occurrence, the extension vein leaving alone needle leav- ing alone time method. Methods： Uses the shallow vein leaving alone needle patient 402 examples to divide into the experimental group （to paste membrane stochastically to open window group） and the control group （integrity pastes membrane group）. After will open the window group puncture to paste among the membrane to open a window to paste in the puncture place, will stick on the cover with the disposable infusion, every day will disinfect puts on garrulous, and will replace the infusion to stick on, besides will paste the membrane and the skin separates, will not replace pastes the membrane ~ The control group prompt replacement pastes the membrane every day. Results：The experimental group and the control group in leave alone the needle to leave rate on have the extremely significance significance （P^0.01） ~In the partial response like point of puncture ache, the red spot, swelling, the vein strip funicular, the point of puncture seeps out and so on in the phlebitis formation rates the difference to have the significance signif- icance （P〈0. 05）. Conclusion.. The experimental group can reduce pastes the membrane the replacement number of times, reduceff has left alone the needle to leave rate and the phlebitis formation rate,the extension vein needle leaving alone time.