早产儿静脉留置针不同穿刺部位留置时间的比较

Analysis of Detention Time in Different Puncture Location of Vein Detained Needle

目的探讨静脉留置针在早产儿应用中的最佳穿刺部位,延长留置时间,减少患儿反复穿刺的痛苦,减轻护理人员的工作量,提高护理质量,建立和谐的医患关系。方法在收治的早产儿中随机抽取117例,根据血管情况分为4组,分别选择头皮静脉、上肢静脉、腋下静脉和下肢静脉进行留置针穿刺,观察不同部位静脉留置针留置的时间,进而得出早产儿静脉留置针的最佳穿刺部位。结果腋下静脉留置时间(5.725±5.538)d,时间最长,与头皮静脉、上肢静脉和下肢静脉的留置时间相比,差异有统计学意义(P<0.01)。结论早产儿使用静脉留置针可首选腋下静脉。尤其对于一些需要输入高渗性静脉营养液的早产儿既可延长留置时间,减少反复穿刺的痛苦,又可提高护理质量,增进医患关系。

Objective To explore the best puncture location of vein detained needle in premature infants and prolong the detention time.Methods According to the vasal circumstance,117 premature infants who were accepted by my section in December of 2008 to 2010 November were divided into 4 sets and punctured by vein detained needle in scalp vein,upper limb vein,lower limb vein or transaxillary vein,then the time of different puncture location was observe.Results Detained time in transaxillary vein（5.725±5.538） days was longer than that in other veins.It was statistically different compared with scalp vein,upper limb vein and lower limb vein（P0.01）.Conclusion Punctured by vein detained needle in scalp vein was the first choice in premature infants,particularly wearing some demand input the premature infant of the hypertonicity vein nourishment liquid since can prolong detention time,reduce very much stabbing,increase nursing quantity.