降低新生儿静脉留置针导致静脉炎的护理干预

Nursing intervention for reducing neonatal phlebitis resulted from venous indwelling needle

目的探讨新生儿静脉留置针的护理方法。方法随机选取2013年1月至2015年4月期间本院收治的需行静脉留置针新生儿94例，按照其入院先后顺序分别实施不同的护理方案，其中对照组新生儿接受临床常规护理，观察组则实施针对性静脉留置针护理方案，对两组新生儿静脉留置针致静脉炎的发生情况进行观察分析。结果观察组患儿静脉炎的总发生率（6．38％）及Ⅱ度静脉炎的发生率（2．13％）均明显低于对照组（25．53％、14．89％），差异有统计学意义（P〈0．05）；两组患儿I度、Ⅲ度静脉炎的发生率比较差异无统计学意义（P〉0．05）。结论在新生儿应用静脉留置针期间对其实施针对性全面护理，能够有效降低静脉炎的发生风险，有利于减轻患儿痛苦，保证治疗的顺利进行。

Objective To explore the nursing methods for the using of venous indwelling needling in neonates. Methods 94 cases of neonates for treatment with venous indwelling needle admitted in our hospital from January 2013 to April 2015 were randomly selected and underwent different nursing regimens according to the order of admission. Control group was treated with routine clinical care; observation group was treated with targeted nursing related to venous indwelling needle. The incidence of neonatal phlebitis resulted from venous indwelling needle of two groups were observed. Results The total incidence of neonatal phlebitis and the incidence of grade II phlebitis of observation group were significantly lower than those of control group （6.38% vs.25.53%, 2.13% vs.14.89%）, with statistically significant differences （P〈0.05）; there were no statistically significant differences in the incidences of grade I, III neonatal phlebitis between two groups （P〉0.05）. Conclusions The implementation of targeted and complete nursing care during using venous indwelling needle in neonates can reduce the risk of phlebitis effectively, which is also helpful to alleviating patients＇ pain; therefore, smooth progress of the treatment could be ensured.