医用弹力网状绷带固定新生儿肢体静脉留置针的效果及安全性

Effect and safety of medical elastic net bandage on fixing limb venous indwelling needle for newborns

目的探讨医用弹力网状绷带固定新生儿肢体静脉留置针的效果及其安全性。方法选取2012年9月～2015年12月人住该中心儿科的120例新生儿为研究对象；采用随机数字表法分为干预组和对照组各60例。对照组新生儿静脉留置针采用3M透明敷料加纱布条固定法，干预组新生儿静脉留置针采用3M透明敷料加弹力网状绷带固定法。对比两组新生儿肢体静脉留置针的固定效果、留置时间及不良反应发生情况。结果干预组患儿固定成功54例，二次固定2例，留置针脱出3例，输液外漏1例；对照组患儿固定成功40例，二次固定8例，留置针脱出7例，输液外漏5例，与对照组相比，干预组的固定成功率明显升高，二次固定、留置针脱出及输液外漏的发生率均明显降低，差异有统计学意义（均P〈0．05）。与对照组相比，干预组患儿的肢体静脉留置针的留置时间显著延长，差异有统计学意义（P〈0．05）。干预组患儿留置针部位出现皮肤过敏1例（1．67％），渗漏肿胀1例（1．67％），总发生率为3．34％；对照组患儿留置针部位出现皮肤过敏3例（5．00％），感染1例（1．67％），渗漏肿胀2例（3．33％），总发生率为10．00％，与对照组相比，干预组患儿的不良反应总发生率显著降低，差异有统计学意义（P〈0．05）。结论医用弹力网状绷带固定新生儿肢体静脉留置针能显著延长留置针留置时间，降低不良反应发生率，安全有效，值得临床推广应用。

Objective To discuss indwelling needle for newborns. Methods about the effect and safety of medical elastic net bandage on fixing limb venous A total of 120 newborns hospitalized in the pediatric department of this center from September 2012 to December 2015 were selected as study objects. Random number table was used to divide into inter- vention group and control group （60 cases each）. 3 M surgical dressing with gauze fixation method was used for the venous indwelling needle of newborns in control group and 3 M transparent surgical dressing with elastic net bandage fixation method was used for the venous indwelling needle of newborns in intervention group. The fixation effect, retention time and adverse reactions of the two groups were co ults 54 cases had successful fixation in intervention group,2 cases falling-off and 1 case had transfusion leakage. 40 cases of control had secondary fixation,3 cases had indwelling needle group had successful fixation, 8 cases had secondary fixation,7 cases had indwelling needle falling-off and 5 cases had transfusion leakage. Compared with the control group, the fixation success rate of intervention increased obviously, the oc- currence rate of secondary fixation,indwelling needle falling-off and transfusion leakage reduced obviously, and the differ- ence had statistical significance（P〈0. 05）. Compared with the control group, the indwelling time of limb venous indwelling needle to the child patients of intervention group was obviously extended. For the part of indwelling needle of child patients in intervention group, 1 case（ 1.67% ） had skin allergy, 1 case （1.67%） had leakage swelling, and the total occurrence rate was 3.34%. For the part of indwelling needle of child patients in control group,3 cases（5. 00% ） had skin allergy, 1 case （ 1.67% ） had infection,2 cases（3.33% ） had leakage swelling,and the total occurrence rate was 10. 00%. Compared with control group ,the total incidence of adverse reactions of children in the intervention group decreased significantly,and the difference was statistically significant（P〈0. 05 ）. Conclusion Medical elastic mesh bandage used in fixed newborn body can significantly extend the indwelling venous indwelling tions. It is safe and effective, and it is worthy of clinical needle indwelling time, and reduce the incidence of adverse reac- popularization and application.