新生儿浅静脉留置针穿刺及固定两种不同方法的效果探讨

目的:探讨新生儿浅静脉留置针穿刺及固定两种不同方法的临床应用效果。方法:选择2014年12月-2017年1月期间我院剖宫产新生儿需要抢救的患儿114例,随机分为对照组(n=57)和观察组(n=57),在给予浅静脉留置针治疗时,给予对照组患儿传统穿刺及固定方法,使用A型医用透明敷料固定,随后用3M胶布缠绕式固定。给予观察组改良式穿刺和固定方法,使用IV3000敷料无张力粘贴,并配备3条纸胶布交叉固定,比较两组患儿留置针留置时间、一次穿刺成功率、松脱率、并发症发生率。结果:两组患儿在留置针留置时间、一次穿刺成功率、松脱率、并发症发生率方面,经统计学检验,P均<0.05,差异具有统计学意义。结论:改良式静脉留置针穿刺和固定方法能够有效提升一次穿刺成功率,降低松脱率和感染率,值得临床推广。

Objective: To explore the clinical application of two different methods of puncture and fixation of neonatal superficial vein. METHODS: A total of 114 children were enrolled in our hospital from December 2014 to January 2017, and were randomly divided into control group and observation group. In the treatment of superficial venous indwelling needle, the control group The traditional puncture and fixation method, the use of A-type medical transparent dressing fixed, followed by 3 M tape wound fixed. To observe the improved puncture and fixation method, the use of IV3000 dressing without tension paste, and equipped with three paper tape cross fixed, compared the two groups of children with indwelling needle retention time, a puncture success rate, loosening rate, the incidence of complications. Results: The difference between the two groups was statistically significant(P <0.05), and the difference was statistically significant.Conclusion: Modified venous indwelling needle puncture and fixation method can effectively improve the success rate of a puncture, reduce the rate of loosening and infection, worthy of clinical promotion.