改良式留置针固定方法在高龄患者中的应用效果观察

Effect observation of modified indwelling needle fixation on the treatment of senile patients

目的观察比较传统3M贴膜常规固定法和改良后的贴膜加胶带外固定法这2种固定留置针方法对高龄患者穿刺部位皮肤和留置时间的影响。方法将使用静脉留置针的高龄患者120例分为观察组60例和对照组60例,观察组采用改良后的胶带外固定法固定留置针,对照组采用传统3M贴膜常规固定法固定留置针,比较2组患者穿刺部位皮肤和留置时间的长短。结果改良后的方法固定留置针与传统的3M贴膜常规固定法相比,留置部位发生机械性静脉炎的情况显著减少,留置时间增加。结论使用改良后的固定方法能显著降低静脉炎发生概率并延长留置针留置时间,该法适用于需要长期静脉输液的高龄患者。

Objective To observe and compare influence of fixation methods on the skin of puncture site and indwelling duration between the conventional 3M sticker fixation and modified fixation of sticker combined with adhesive plaster in the treatment of senile patients.Methods 120 senile patients with venous indwelling needle were selected and divided into observation group and control group,60 cases in each group.The indwelling needle in the observation group was fixed by modified fixation of sticker combined with adhesive plaster,while the indwelling needle in the control group was fixed by the conventional 3M sticker fixation.The condition of skin of puncture site and the indwelling duration were compared between two groups.Results Incidence rate of mechanical phlebitis on the skin of puncture site in the observation group was significantly lower than that in the control group,while the mean indwelling duration was longer and that in the control group.Conclusion Application of modified fixation of sticker combined with adhesive plaster can significantly reduce the incidence rate of mechanical phlebitis and prolong the indwelling duration,so it is suitable for the senile patients with long-term venous transfusion.