小儿静脉留置针中止留置的护理分析

Nursing analysis of discontinuation of indwelling of pediatric venous indwelling needle

为了分析小儿静脉留置针中止留置原因,制定具有针对性的护理对策,择取2016年3月—2017年3月我院使用浅静脉输液留置针患儿296例为研究对象,对其开展静脉留置针操作,分析中止留置原因,制定护理方案。结果:有114例患儿出现非正常原因中止留置,失败率为38.5%。原因从多到少分别为:静脉炎、导管阻塞、针体滑落、患儿自身因素。穿刺位置留置时间从短到长依次为:大隐静脉、足背静脉、手背静脉、头皮静脉。头皮静脉留置时间和大隐静脉以及足背静脉存在显著差异,P<0.05。结论:头皮静脉为小儿留置针首选静脉,其次为手背静脉。护士在对患儿开展留置针穿刺时,应当选择合理血管,提升护士的专业技术水平为降低留置失败率的关键所在。

To analyze the causes of pediatric venous indwelling needle and to develop targeted nursing strategies. 296 cases of children treated with superficial venous infusion from March 2016 to March 2017 were selected as the objectives. It showed that 114 cases of children were in abnormal causes of termination of indwelling,the failure rate was38. 5%. The reasons are factors of phlebitis,catheter obstruction,needle body slippery and children themselves.Puncture position indwelling time from short to long are： great saphenous vein,dorsal vein,dorsal vein and scalp vein.There was a significant difference between the scalp venous retention time and those of the great saphenous vein and the dorsal vein,P〈0.05. The scalp vein is the preferred vein for children,followed by the dorsal vein. Nurses should choose reasonable blood vessels and enhance professional level to reduce the indefinite failure rate.