一次性输血管针头在经外周静脉置入的中心静脉导管盲塞治疗中的新应用

New application of disposable blood transfusion needles in the blind plug treatment of peripherally inserted central catheter

目的:探讨一次性输血管针头在经外周静脉置入中心静脉导管(PICC)盲塞治疗中的新应用。方法:选取200例住院患者,按照随机数表法将其分对照组与观察组,每组100例。对照组按照常规盲塞穿刺治疗,观察组采用通过剪断一次性输血管软管端,只保留针头代替塞丁格穿刺针进行穿刺,然后再植入PICC导管。且两组患者治疗全程均予以相同护理措施进行干预,对比分析两组患者的临床应用效果。结果:观察组穿刺总成功率高达99.00%,且一针穿刺成功率达82.00%;对照组穿刺总成功率为85.00%,一针穿刺成功率为38.00%,两组比较,观察组显著优于对照组(x^2=13.32,x^2=40.33;P<0.01)。观察组治疗后静脉炎发生率、疼痛发生率及患者满意率均优于对照组(x^2=13.78,x^2=29.48,x^2=21.40;P<0.01)。由此可见观察组患者疗效确切。结论:一次性输血管针头代替塞丁格穿刺针进行穿刺植入PICC能明显提高置管成功率,值得推广。

Objective： To investigate new application of disposable blood transfusion needles in the blind plug treatment of peripherally inserted central catheter. Methods： Two hundredhospitalized patients were selected and divided into two groups randomly. The control group conducted conventional blind plug puncture treatment, observation group used hose end through cutting disposable transfusion tube, retaining only the needle instead of Seldinger puncture needle, and then implanted with PICC catheter. Two groups of patients were treated with the same whole nursing intervention, compared clinical application effect in two groups of patients. Results： The success rate of observation group puncture is 99%, and one time needle puncture success rate reached 82%. The success rate of control group puncture is 85%, and one time needle puncture success rate is 38%, and there is significant difference in two groups （x2 = 13.32, x2 = 40.33; P 〈 0.01）. The incidence of phlebitis, incidence of pain and satisfaction rates in observation group after treatment are better than control group（x2=13.78, x2=29.48, x2=21.40; P〈0.01）. Conclusion： Blood transfusion tube needle instead of Seldinger puncture needle puncture implantation of PICC catheter can significantly improve the success rate of catheterization, combined with comprehensive nursing intervention, can greatly reduce the suffering of patients, improve the clinical treatment effect and is worth to popularize.