婴幼儿留置针连接肝素帽与连接无针输液接头的效果对比

Effect comparision of infantile indwelling needle connected with heparin cap and connecting needleless infusion joint

目的探讨婴幼儿留置针连接肝素帽与婴幼儿留置针连接无针输液接头的效果。方法选取2018年1~11月在我院儿科因肺炎住院治疗并使用安全型静脉留置针的128例患儿,将其随机分为对照组和实验组,每组各64例。对照组留置针连接肝素帽,实验组留置针连接无针输液接头,将两组的护理干预效果进行比较。结果两组留置针留置过程中折断、输液器脱出的发生率比较,差异无统计学意义(P>0.05);实验组的回血、针刺伤、堵管、静脉炎发生率明显低于对照组,差异有统计学意义(P<0.05);实验组家长的护理总满意度(93.8%)明显高于对照组(81.3%),差异有统计学意义(χ^2=4.57,P<0.05)。结论留置针连接无针输液接头对静脉输液的婴幼儿可明显延长静脉留置时间,降低静脉输液相关并发症的发生率,具有安全性良好的优点。

Objective To evaluate the effect of indwelling needle-linked heparin cap and infantile indwelling needle connected with needle-free infusion joint. Methods A total of 128 children who underwent pediatric pneumonia hospitalization and used safe venous indwelling needles from January to November 2018 were selected and randomly divided into control group and experimental group, 64 cases in each group. Heparin cap connected with indwelling needle was used in control group, the indwelling needle connected with the needle-free infusion joint was used in the experimental group, the effects of nursing intervention were compared between the two groups. Results There was no significant difference in the incidence of needle breakage and infusion set out in the indwelling needles of the two groups (P>0.05). The incidence of blood return, acupuncture, blockage, and phlebitis in the experimental group significantly lower than that in the control group, the differences were statistically significant (P<0.05). The nursing satisfaction of the parents in the experimental group (93.8%) was significantly higher than that of the control group (81.3%), there was statistically significant difference (χ^2=4.57, P<0.05). Conclusion Indwelling needle-connected needle-free infusion joints for infants with intravenous infusion can significantly prolong the time of venous indwelling and reduce the incidence of complications related to intravenous infusion, which has the advantage of good safety.