引起静脉留置针相关性静脉炎危险因素及护理预防

Related factors analysis and nursing prevention of venous indwelling needle associated phlebitis

目的观察静脉留置针相关性静脉炎的危险因素。方法 40例发生静脉留置针相关性静脉炎患者作为静脉炎组,同期40例未发生静脉留置针相关性静脉炎患者作为无静脉炎组。比较两组患者的相关因素差异及临床干预方法。结果静脉炎组患者年龄为(60.47±11.25)岁、护士穿刺不当9例(22.50%)、日输液总量为(1497.83±154.08)ml、穿刺下肢11例(27.50%)、应用高渗药物17例(42.50%),无静脉炎组患者年龄为(51.77±12.09)岁、护士穿刺不当2例(5.00%)、日输液总量为(986.26±143.75)ml、穿刺下肢3例(7.50%)、应用高渗药物6例(15.00%),比较差异均具有统计学意义(P<0.05)。结论导致静脉留置针相关性静脉炎的因素复杂,应实施相应的护理措施,降低静脉炎的发生。

Objective To investigate the risk factors of venous indwelling needle associated phlebitis. Methods There were 40 patients with venous indwelling needle associated phlebitis as phlebitis group, and concurrent 40 patients without venous indwelling needle associated phlebitis as non-phlebitis group. Comparison were made on difference of relevant factors and clinical intervention methods. Results The phlebitis group had patients aged（60.47±11.25） years old, 9 nurse improper puncture cases（22.50%）, 1-day infusion as（1497.83±154.08） ml, 11 lower extremity puncture cases（27.50%）, and 17 application of high permeability drugs cases（42.50%）. Non-phlebitis group had patients aged（51.77±12.09） years old, 2 nurse improper puncture cases（5.00%）, 1-day infusion as（986.26±143.75） ml, 3 lower extremity puncture cases（7.50%）, and 6 application of high permeability drugs cases, and all indexes had statistically significant differences in two groups（P〈0.05）. Conclusion The factors leading to venous indwelling needle associated phlebitis are complicated, corresponding nursing measures should be implemented to reduce the incidence of phlebitis.