穿刺部位抬高在输液用药间歇期防止套管针回血堵管的临床观察及护理

THE CLINICAL EFFECT AND NURSING ON THE PUNCTURE SITE ELEVATION IN INTERMITTENT PERIOD PREVENTING TROCAR BLOOD RETURN AND PLUGGING TUBE

目的探讨穿刺部位抬高在急诊科输液用药间歇期防止套管针回血堵管的临床效果。方法收集2013年11月—2014年2月该院急诊科抢救室留置安全型套管针连接可来福符合入选条件的患者1 200例,按随机数字表法分为观察组与对照组,对照组为常规输液结束时将输液调节器下滑至输液管最下端闭死,同时关闭可来福卡夹。观察组为输液结束时先将输液穿刺部位肢体抬高90°,然后再将输液调节器下滑至输液管最下端闭死,同时关闭可来福卡夹。观察二组输液回血、堵管的发生率。结果观察组在输液回血、堵管的发生率明显低于对照组,差异有统计学意义(P<0.01)。结论在急诊科输液用药间歇期抬高穿刺部位可有效防止套管针回血堵管。

Objective To explore the clinical effect of the puncture site elevation in intermittent period preventing trocar blood return and plugging tube in the emergency department. Methods One thousand and two hundred patients with indwelling safe trocars connected to Kelaifu from November 2013 to February 2014 were collected, they were randomly divided into observation group and control group according to random number. Infusion regulators were declined to the lowest end of the infusion tube and closed, while closed Kelaifu folder at the end of conventional infusion in control group. In observation group, infusion puncture site limbs were elevated 90 degrees firstly, then the same way as the control group. Incidence of trocar blood return and plugging tube were observed in two groups. Results The incidence of trocar blood return and plugging tube of observation group was significantly lower than the control group, the difference was statistically significant. Conclusion The puneture site elevation in intermittent infusion of medication can effectively prevent trocar blood return and plugging tube.