一次性头皮针软管在小儿保留灌肠中的应用

Application of disposable scalp-vein needle catheter for retention enema in children

目的探讨一次性头皮针软管在小儿保留灌肠治疗中的应用效果。方法 2016年1月—2017年12月科室收治的100例需行镇静处理的患儿,按照随机数字表法分为观察组50例和对照组50例。对照组和观察组分别采用常规肛门导管和一次性头皮针软管进行灌肠治疗,比较2组保留灌肠成功率、药液保留时间、药液丢失量、舒适度评分、疼痛评分和患儿家长满意度。结果观察组保留灌肠成功率98.00%,高于对照组的82.00%(P<0.01)。观察组药液保留时间长于对照组(P<0.05),其药液丢失量少于对照组(P<0.05)。观察组插管时和拔管后的舒适度评分均高于对照组(P<0.05),疼痛评分均低于对照组(P<0.05)。观察组患儿家长总满意率高于对照组患儿家长(94.00%vs.80.00%,P<0.05)。结论在小儿保留灌肠治疗时,采用一次性头皮针软管代替常规肛门导管,可提高保留灌肠成功率,延长药液保留时间,减少药液丢失,有利于提高患儿舒适度。

Objective To evaluate the disposable scalp-vein needle catheter for retention enema in children.Methods Totally 100 pediatric patients undergoing enema sedation were assigned to the observation group and the control group,with 50 cases in each group.The normal anus catheter and disposable scalp-vein needle catheter were adopted for retention enema in the control group and observation group,respectively.The successful rate of retention enema,retention time,amount of enema lost,comfort and pain assessment score,as well as satisfactory of parents,were compared between two groups.Results The observation group had a higher successful rate of retention enema compared with that of controls(98.00%vs.82.00%,P<0.01).The observation group had a longer retention time and less amount of enema lost compared with those in the control group(P<0.05).Compared with the control group,the observation group had a higher score of comfort assessment and lower score of pain assessment whilst indwelling and removing catheter(P<0.05).More parents in the observation group were satisfied with the treatment compared with those in the control group(94.00%vs.80.00%,P<0.05).Conclusion Application of disposable scalp-vein needle catheter can ensure the retention success and reduce the enema loss in retention enema,as well as improving the comfort degree of children.