BD静脉留置针在儿科的临床应用

Clinical application of BD venous indwelling needle in department of pediatrics

目的探讨BD小儿静脉留置针静脉留置后出现穿刺点渗血及红肿的问题及解决方法。方法通过对本院儿科2017年1月至2017年10月200例患儿随机分为对照组和观察组，观察组以穿刺点为中心使用无菌3M透明敷贴固定后另外以穿刺点为中心再用一层3M纸胶布覆盖固定。对照组以穿刺点为中心使用无菌3M透明敷贴固定不再用3M纸胶布覆盖固定。观察两组患儿静脉留置针穿刺点的渗血、红肿情况及留置时间。结果与对照组比较，观察组静脉留置针穿刺点的渗血发生率、红肿发生率明显降低、留置天数增加，两组比较差异均有统计学意义（P〈0．05）。结论以穿刺点为中心使用无菌3M透明敷贴固定后另外以穿刺点为中心再用3M纸胶布覆盖固定，可降低穿刺点的渗血及红肿率，增加留置天数，减轻患儿的痛苦及提高家属的满意度。

Objective To investigate the problems and solutions of puncture site bleeding and swelling after BD pediatric venous indwelling needle intravenous indwelling. Methods 200 children in department of pediatrics of our hospital from January 2017 to October 2017 were randomly divided into control group and observation group. The observation group received venous indwelling needle with sterile 3M transparent dressing fixed and then 3M paper tape covered, centered on the puncture site; the control group received venous indwelling needle with sterile 3M transparent dressing fixed only, centered on the puncture site. The puncture site bleeding and swelling, indwelling time of venous indwelling needle of the two groups were observed. Results Compared with the control group, the incidences of puncture site bleeding and swelling of the observation group were significantly lower, the indwelling time of venous indwelling needle was longer, with statistically significant differences between the two groups （P〈0.05）. Conclusion The application of venous indwelling needle with sterile 3M transparent dressing fixed and then 3M paper tape covered, centered on the puncture site can reduce the incidences of puncture site bleeding and swelling, prolong the indwelling time, reduce the children＇s pain, and improve family satisfaction.