中长导管在急性胰腺炎患者静脉输液治疗中的临床效果观察
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摘要
目的探讨中长导管在急性胰腺炎患者静脉输液治疗中的临床效果。方法选取2015年10月至2018年3月收治的急性胰腺炎患者204例为研究对象,按随机数字表法分为3组,每组各68例,进行静脉输液治疗。A组采用中长导管,B组采用经外周静脉穿刺中心静脉置管(PICC),C组采用留置针。观察比较3组患者有效留置时间、静脉炎发生率,导管相关性血流感染、静脉血栓的发生率,出院问卷调查满意度。结果 3组患者有效留置时间比较差异有统计学意义(P<0.05);A组和B组患者静脉炎发生率明显低于C组,差异有统计学意义(P<0.05);A组患者导管相关性血流感染和静脉血栓的发生率明显低于B组和C组,差异有统计学意义(P<0.05);A组患者满意度高于B组和C组,差异有统计学意义(P<0.05)。结论使用中长导管对急性胰腺炎患者静脉输液治疗,置入操作简便,并发症少,是较好的静脉治疗方法,值得推广。
Objective To explore the clinical effect of medium-length catheter for acute pancreatitis patients in intravenous infusion therapy.Methods A total of 240 patients with acute pancreatitis from Oct.2015 to Mar.2018 were selected.They were divided into three groups according to a random number table:group A used medium-long intravenous catheters,group B used peripherally inserted central catheter(PICC)and group C used retention needles.The effective retention time,the incidence of phlebitis,catheter-related bloodstream infection,the incidence of venous thrombosis,discharge questionnaire survey satisfaction were observed and compared.Results Retention times between the three groups had statistical difference(P<0.05).The incidences of group A and group B were significantly lower than that of group C(P<0.05).Incidence of catheterrelated bloodstream infections of group A was significantly lower than that of group B and group C(P<0.05).The rate of satisfaction in group A was significantly higher than that of group B and group C(P<0.05).Conclusion Using medium-length intravenous catheters for intravenous infusion therapy in patients with acute pancreatitis has the advantages of simple insertion,low incidence of phlebitis and few complications.It is worth to promote in clinical.
Objective To explore the clinical effect of medium-length catheter for acute pancreatitis patients in intravenous infusion therapy.Methods A total of 240 patients with acute pancreatitis from Oct.2015 to Mar.2018 were selected.They were divided into three groups according to a random number table:group A used medium-long intravenous catheters,group B used peripherally inserted central catheter(PICC)and group C used retention needles.The effective retention time,the incidence of phlebitis,catheter-related bloodstream infection,the incidence of venous thrombosis,discharge questionnaire survey satisfaction were observed and compared.Results Retention times between the three groups had statistical difference(P<0.05).The incidences of group A and group B were significantly lower than that of group C(P<0.05).Incidence of catheterrelated bloodstream infections of group A was significantly lower than that of group B and group C(P<0.05).The rate of satisfaction in group A was significantly higher than that of group B and group C(P<0.05).Conclusion Using medium-length intravenous catheters for intravenous infusion therapy in patients with acute pancreatitis has the advantages of simple insertion,low incidence of phlebitis and few complications.It is worth to promote in clinical.
引文
[1]朱春勤,吴莉.5例高龄急性胰腺炎患者的输液管理[J].中西医结合护理(中英文),2017,3(3):149-150.
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[11]GORSKI L A.Infusion nursing standards of practice[J].JInfus Nurs,2007,30(1):20-21.
[12]谷晓岚,潘宜,陈文君,等.血液透析患者中心静脉导管感染因素分析与对策[J].中华医院感染学杂志,2010,20(23):3663-3664.
[13]孙红,王蕾,关欣,等.全国部分三级甲等医院静脉治疗护理现状分析[J].中华护理杂志,2014,49(10):1232-1237.
[14]MOUNZER R,LANGMEAD C J,WU B U,et al.Comparison of existing clinical scoring systems to predict persistent organ failure in patients with acute pancreatitis[J].Gastroenterology,2012,142(7):1476-1482.
[15]禹玲.中等长度导管在神经内科重症患者中的应用及护理[J].实用临床医药杂志,2011,15(12):41-42.
[2]魏星,李文星.急性胰腺炎诊疗新进展及营养支持研究[J/CD].中华临床医师杂志(电子版),2016,10(4):1038-1039.
[3]杨明,吴河水.急性胰腺炎早期液体复苏的临床意义与策略[J].临床急诊杂志,2016,17(2):92-94.
[4]龙思泽,白一景.老年重症急性胰腺炎的临床特点[J].当代医学杂志,2018,24(2):32-33.
[5]邹晓春,何金爱,宋燕伶.252例留置静脉中长导管患者调查分析[J].护理学报,2016,23(10):48-50.
[6]MILLER D L,O′GRADY N P.Guidelines for the prevention of intravascular catheter-related infections:recommendations relevant to interventional radiology[J].J Vasc Interv Radiol,2003,14(2Pt 1):133-136.
[7]胡明明,沈小芳,顾平,等.国外中等长度导管的应用研究及启示[J].护理学报,2015,22(12):33-35.
[8]ROLDAN C J,PANIAGUA L.Central Venous Catheter Intravascular Malpositioning:Causes,Prevention,Diagnosis,and Correction[J].West J Emerg Med,2015,16(5):658-664.
[9]王建荣.输液治疗护理实践指南与实施细则[M].北京:人民军医出版社,2009:17-18.
[10]SHARP R,ESTERMAN A,MCCUTCHEON H,et al.The safety and efficacy of midlines compared to peripherally inserted central catheters for adult cystic fibrosis patients:a retrospective,observational study[J].Int J Nurs Stud,2014,51(5):694-702.
[11]GORSKI L A.Infusion nursing standards of practice[J].JInfus Nurs,2007,30(1):20-21.
[12]谷晓岚,潘宜,陈文君,等.血液透析患者中心静脉导管感染因素分析与对策[J].中华医院感染学杂志,2010,20(23):3663-3664.
[13]孙红,王蕾,关欣,等.全国部分三级甲等医院静脉治疗护理现状分析[J].中华护理杂志,2014,49(10):1232-1237.
[14]MOUNZER R,LANGMEAD C J,WU B U,et al.Comparison of existing clinical scoring systems to predict persistent organ failure in patients with acute pancreatitis[J].Gastroenterology,2012,142(7):1476-1482.
[15]禹玲.中等长度导管在神经内科重症患者中的应用及护理[J].实用临床医药杂志,2011,15(12):41-42.