生理盐水正压冲管后送管技术在小儿静脉留置针置管中的应用

Application of skills of the placement of venous indwelling catheter in children after using saline to washing pipes with direct extrusion

目的:探讨正压送管技术在小儿静脉留置针置管中的应用。方法:将879例静脉输液的患儿按随机数字表分为对照组438例和观察组441例,对照组采用传统的见回血后直接单手送管法,观察组则是见回血后用生理盐水正压冲管再单手送管。结果:观察组穿刺成功率90.7%,高于对照组66.9%,两组比较差异有统计学意义(P<0.01)。结论:生理盐水正压冲管技术的应用,能提高小儿一次穿刺置管成功率,减轻了患儿的痛苦和护士的工作量,提高了护理质量。

Objective：To explore the application of skills of the placement of venous indwelling catheter in children after using saline to washing pipes with direct extrusion.Methods：879cases of diarrhea infants who needed to have intravenous infusion were randomly divided into a control group of 438 and an observation group of 441.The control group used the traditional placements of venous indwelling catheter which directly placed the catheter after the returning of blood with one hand.However,the observation group used the way of using saline to wash pipes with direct extrusion after blood returning and then placed the catheter.Results：The success rate of puncture of the observation group was much higher（90.7%）than that of the control group（66.9%）.There were significant differences between the two groups（P〈0.01）.Conclusion：The application of using saline to wash pipes with direct extrusion not only increases the success rate of puncture and alleviates diarrhea infants’ sufferings,but also reduces nurses’ workload and improves the quality of nursing.