外周静脉输液技术的改进

Improvements of peripheral vein infusion method

目的:探讨套管针、静脉帽、3 L输液袋输液技术推广应用价值。 方法:1992年6 月～1998 年9月,外科住院病人采用套管针、静脉帽、3 L输液袋输液8 000余例次,观察最初270例静脉炎发生率,对比51 例3 L袋残液培养与42 例传统输液残液培养结果。 结果:3 L袋输液静脉炎发生率,输液时间4天之内者为0. 5 % , 5～15 天者8% ,15 天以上者为30% ;3 L袋残液培养阳性率3.3% ,多瓶输液为10.5% ,两组比较有显著差异(P< 0.05)。 结论:套管针、静脉帽、3 L输液袋输液技术安全、可靠, 减少病人痛苦,减轻了护理工作量。

Objectives:To investigate the role of combination of sheath needle,heparin cap and 3 litre bag in the peripheral venous infusion. Methods:The combination of sheath needle,heparin cap and 3 litre bag was used in the peripheral infusions of surgical patients for 8000 times.The incidence of phlebtitis was recorded and the bacterial cultures of remaining liquid were completed.The previous method infusion was used as controls. Results:The incidence of phleblitis was significantly increased as the infusion time was increased:0.5% for ≤4 days,8% for 5~15 days and 30% for more than 15 days.3.3% of the culture was positive in the combination group and 10.5% in the control group(χ 2=6.402, P <0.05). Conclusions:The combination of sheath needle,heparin cap and 3 litre bag is safe and of advantage.