颈外静脉留置针穿刺在危重症患儿中的应用及护理

Applications of external jugular vein puncture method in critically ill children and related nursing measures

目的探讨颈外静脉留置针穿刺在危重症患儿置管中的应用效果。方法 126例危重症患儿根据入院先后顺序分为观察组和对照组,各63例。对照组行外周浅静脉留置针穿刺,观察组行颈外静脉留置针穿刺。观察2组一次穿刺成功率、留置针操作时长、管道留置时间及并发症发生情况。结果观察组一次穿刺成功率高于对照组,外渗、静脉炎及堵管发生率低于对照组(P<0.01),观察组留置针操作时间低于2 min的患儿比例高于对照组(P<0.01),观察组留置时间超过5 d的患儿比例高于对照组(P<0.01)。结论对危重症患儿应用颈外静脉留置针穿刺具有良好的效果,安全性高,留置时间长。

Objective To evaluate the external jugular vein puncture method in critically illchildren and related nursing measures.Methods A total of126critically ill children were assignedto the observation group and the control group,with63cases in each group.The peripherallysuperficial vein puncture method was used in the control group,and the external jugular veinpuncture method was applied in the observation group.The one-time success rate of puncture,operationtime of puncture,indwelling time and incidence of complications were recorded and comparedbetween two groups.Results The one-time success rate of puncture was higher in the observationgroup than that of controls(P<0.01).The incidence of leakage,phlebitis or catheterblockage was lower in the observation group than that in the controls(P<0.01).The proportionof children with operation time of puncture less than2minutes and indwelling time longer than5days were higher in the observation group than that of controls(P<0.01).Conclusion Externaljugular vein puncture method is a safe and effective catheterization method in critically ill childrenand related nursing measures