套管针滑动活塞的不同夹闭方式对相关并发症发生率的影响

Influences of different clipping methods of trocar sliding piston on the incidence of related complications

目的:探讨套管针滑动活塞的不同夹闭方式对相关并发症的影响。方法:将我科日间病房2013年7月-2014年5月期间使用套管针的患者320例,随机分为生理盐水组(152例)和肝素钠组(168例),生理盐水组设观察组(78例)和对照组(74例),肝素钠组设观察组(82例)和对照组(86例),观察四组患者套管针留置时间和相关并发症的发生率。结果:生理盐水组和肝素钠组患者套管针留置时间和相关并发症发生率比较差异无显著意义(P>0.05),两组中观察组患者出现回血、堵塞的发生率明显低于对照组,且套管针平均留置时间高于对照组,两组比较差异有统计学意义(P<0.05)。结论:生理盐水用于套管针封管与肝素钠封管效果无明显差异,可代替肝素钠使用,一手固定软管远心端,另一手提起滑动活塞的夹闭方式可减少和预防相关并发症的发生,使套管针的应用更加安全、有效,提高护理工作效率。

Objective： To investigate the effects of different trocar sliding piston clamping way on complications. Methods：320 patients from July 2013 to May 2014 were randomly divided into the saline group （152 cases）, heparin sodium group （168 cases）. The saline group was divided into the observation group （78 cases） and control group （74 cases）. The heparin sodium group was divided into the observation group （82 cases） and control group （86 cases）. Trocar indwelling time and the incidence of related complications in four groups were observed. Results： All observed indicators in the physiological saline group and heparin group associated with no significant difference （P〉0.05）; in the observation group blood, blockage of the incidence occurred were significantly lower than those in the control group, and the average retention time of trocar is higher than that in the control group; there was statistically significant （P〈0.05）. Con- clusion： Physiological saline for trocar and heparin sodium sealing showed no obvious difference, can replace heparin sodium; a hand fixed hose distal ends, another hand lift sliding piston clamping methods could reduce and prevent complications, was safe and more effective, and improve nursing work efficiency.