外周浅静脉留置针两种不同固定方法的留置效果比较

Comparison on the effects of two different fixation methods of superficial venous catheter

目的:探讨最适用的外周浅静脉留置针固定方法。方法:将使用静脉留置针的患者随机分为传统组456例和改良组474例,传统组患者用A型医用透明敷料固定,再用3M胶布缠绕式固定;改良组患者用IV3000敷料无张力粘帖,再用其内配备的3条纸胶布交叉式固定。比较两组在留置时间、并发症的发生率及病人的满意度情况。结果:改良组的留置时间较传统组延长(P<0.05),堵管发生率无显著差异(P>0.05),外渗和静脉炎的发生率低于传统组(P<0.05),改良组明显提高了病人的满意度(P<0.01)。结论:用IV3000敷料固定方法可有效的改善留置针的留置效果,提高病人的满意度。

Objective： To explore the best fixation method of superficial venous catheter. Methods：930 patients were rando/nly divided into two group, there were 456 cases in traditional group and 474 cases in improved group. The catheter in the traditional group was covered to fix directly with A type of medical transparent dressing, and then winded with 3M tape. The improved group used IV3000 dressing to paste, and then cross-fixed with 3 paper tape. The differences of two group were compared in the indwelling time, incidence of complications, and patient satisfaction. Results：In the improved group, the indwelling time was extension （P〈0.05）, the incidence of extravasation and Vein inflammation were lower than the traditional group （P〈0.05）, and patient satisfaction was significantly improved （P〈 0.01）. The complication of tube blockage was no significant difference in two group （P〉O.05）. Conclusion：The new fix- ation methods with IV3000 dressing can effectively improve the indwelling effects of superficial venous catheter and patient satisfaction.