外周静脉留置针穿刺部位皮肤消毒方法的改良及效果
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摘要
本研究旨在改进外周静脉留置针穿刺部位皮肤消毒方法,即分别在穿刺前、后和拔针后进行消毒,探讨该消毒方法对静脉留置针穿刺部位皮肤消毒的效果。本研究选取2015年10月至2016年8月我院收治的新生儿科168例住院患者及外科148例成人住院患者,随机将两个年龄段的研究对象分为实验组和对照组,其中新生儿年龄段中实验组和对照组均为84例,成人年龄段中实验组为80例,对照组为68例。实验组采用穿刺前、后和拔针后的消毒方法,对照组采用常规消毒方法,比较对照组和实验组患者静脉炎和导管感染的发生率以及留置针的留置时间。结果显示,与对照组比较,实验组患者的静脉炎、导管感染发生率明显降低(p<0.05),而留置针的留置时间明显延长(p<0.05)。本研究表明,采用穿刺前、后和拔针后的消毒方法对静脉留置针穿刺部位进行皮肤消毒后,有效降低了患者静脉炎、导管感染的概率,延长留置针的留置时间。
The purpose of this study was to improve the method of sterilizing skin at the puncture site of peripheral venous indwelling needles, before or after sterilize and after the puncture, and discuss the effect of the sterilizing method on sterilizing the site of venous indwelling needle puncture site. 168 inpatients and 148 adult inpatients in neonatology and surgery from October 2015 to August 2016 in our hospital were selected. These subjects randomly divided two age groups into experiment and control groups. In the newborns age group, there were 84 cases in the experiment group and the control group. In the adult age group, 80 cases in the experiment group and 68 cases in the control group. The experiment group used the sterilizing method before, after and after the puncture, and the control group used the conventional sterilizing method. By comparing the incidence of phlebitis and catheter infection and the indwelling time of the indwelling needle between the control group and the experimental group.The results showed that in the comparison group, the incidence of phlebitis and catheter infection was significantly lower in the experiment group(p<0.05), while the retention time of the indwelling needle was significantly longer(p<0.05). This study shows that after sterilizing the venous indwelling needle puncture site with the sterilizing method before, after and after the needle puncture, the probability of phlebitis and catheter infection in the patient is effectively reduced, and the indwelling time of the indwelling needle is prolonged.
The purpose of this study was to improve the method of sterilizing skin at the puncture site of peripheral venous indwelling needles, before or after sterilize and after the puncture, and discuss the effect of the sterilizing method on sterilizing the site of venous indwelling needle puncture site. 168 inpatients and 148 adult inpatients in neonatology and surgery from October 2015 to August 2016 in our hospital were selected. These subjects randomly divided two age groups into experiment and control groups. In the newborns age group, there were 84 cases in the experiment group and the control group. In the adult age group, 80 cases in the experiment group and 68 cases in the control group. The experiment group used the sterilizing method before, after and after the puncture, and the control group used the conventional sterilizing method. By comparing the incidence of phlebitis and catheter infection and the indwelling time of the indwelling needle between the control group and the experimental group.The results showed that in the comparison group, the incidence of phlebitis and catheter infection was significantly lower in the experiment group(p<0.05), while the retention time of the indwelling needle was significantly longer(p<0.05). This study shows that after sterilizing the venous indwelling needle puncture site with the sterilizing method before, after and after the needle puncture, the probability of phlebitis and catheter infection in the patient is effectively reduced, and the indwelling time of the indwelling needle is prolonged.
引文
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Guo F.,Liu Y.,Fu Z.L.,Yang Y.H.,Li W.,Zhao X.,and Zheng X.,2013,Research progress on regulation mucosal immune of IL-17 cytokine family,Zhongguo Xumu Shouyi(China Animal Husbandry&Veterinary Medicine),40(5):140-143(郭风,刘禹,付志玲,杨艳红,李维,赵雪,郑鑫,2013,IL-17细胞因子家族调节黏膜免疫的研究进展,中国畜牧兽医,40(5):140-143)
Lu R.,Li X.,Chen R.,Sun X.M.,Wang M.J.,and Luo Q.L.,2010,Evaluation of safety of using single-luminal intra venous needle during coronary CTA,Xiandai Shengwu Yixue Jinzhan(Progress in Modern Biomedicine),10(10):1958-1960(卢蓉,李雪,陈蓉,孙秀梅,王明菊,罗巧玲,2010,单腔静脉留置针在冠脉CTA检查应用中的安全性评价,现代生物医学进展,10(10):1958-1960)
Lv Y.,2003,Research progress on prophylactic nursing of patients undergoing venous fluids infusion complicated with phlebitis,Huli Yanjiu(Chinese Nursing Research),17(8a):880-881(吕艳,2003,静脉输液并发静脉炎预防性护理的研究进展,护理研究,17(8a):880-881)
Song G.Q.,Qiao X.F.,Guo B.,Xu J.X.,Lu X.X.,and Sun X.,2008,The influential factors of phlebitis in patients with intravenous cannula,Huli Xuebao(Journal of Nursing),15(2):11-13(宋瑰琦,乔晓斐,郭兵,许家秀,鲁先秀,孙新,2008,静脉留置针患者发生静脉炎的影响因素分析,护理学报,15(2):11-13)
Xie X.M.,2002,Clinical use of venous indwelling trocar and nursing of the patients,Huli Yanjiu(Chinese Nursing Research),16(2):73-74(谢贤敏,2002,静脉留置针的临床应用及护理,护理研究,16(2):73-74)
Yang H.W.,Yu Z.Z.,and Ren H.,2008,Study on proper use of skin disinfectant,Jiefangjun Huli Zazhi(Nursing Journal of Chinese People's Liberation Army),25(12):12-14(杨红薇,于志臻,任慧,2008,几种常用皮肤消毒剂消毒效果的评价,解放军护理杂志,25(12):12-14)
Yang L.J.,Zou J.M.,Ni X.M.,Cao M.,and Xiong W.,2013,Three kinds of PICC intubation pathway and mechanical phlebitis complications of c omparative analysis,Xiandai Shengwu Yixue Jinzhan(Progress in Modern Biomedicine),13(34):6676-6678(杨玲娟,邹金梅,倪雪梅,曹梅,熊玮,2013,三种PICC置管途径并发机械性静脉炎的比较分析,现代生物医学进展,13(34):6676-6678)
Zhao B.L.,and Zhang Y.C.,2003,Local infection of 15 neonates caused by retention needles in peripheral nerves,Henan Keji Daxue Xuebao(Yixueban)(Journal of Henan University of Science&Technology(Medical Science)),21(1):69(赵柏丽,张永超,2003,外周静脉留置针引起新生儿局部感染15例,河南科技大学学报(医学版),21(1):69)
Zhou J.L.,Wu S.P.,and Wu J.S.,2003,Central venous catheter colonization and related bacteremia,Zhongguo Ganran Yu Hualiao Zazhi(Chinese Journal of Infection and Chemotherapy),3(5):269-272(周建良,吴诗品,吴劲松,2003,中心静脉导管细菌定植和相关菌血症,中国感染与化疗杂志,3(5):269-272)
Guo F.,Liu Y.,Fu Z.L.,Yang Y.H.,Li W.,Zhao X.,and Zheng X.,2013,Research progress on regulation mucosal immune of IL-17 cytokine family,Zhongguo Xumu Shouyi(China Animal Husbandry&Veterinary Medicine),40(5):140-143(郭风,刘禹,付志玲,杨艳红,李维,赵雪,郑鑫,2013,IL-17细胞因子家族调节黏膜免疫的研究进展,中国畜牧兽医,40(5):140-143)
Lu R.,Li X.,Chen R.,Sun X.M.,Wang M.J.,and Luo Q.L.,2010,Evaluation of safety of using single-luminal intra venous needle during coronary CTA,Xiandai Shengwu Yixue Jinzhan(Progress in Modern Biomedicine),10(10):1958-1960(卢蓉,李雪,陈蓉,孙秀梅,王明菊,罗巧玲,2010,单腔静脉留置针在冠脉CTA检查应用中的安全性评价,现代生物医学进展,10(10):1958-1960)
Lv Y.,2003,Research progress on prophylactic nursing of patients undergoing venous fluids infusion complicated with phlebitis,Huli Yanjiu(Chinese Nursing Research),17(8a):880-881(吕艳,2003,静脉输液并发静脉炎预防性护理的研究进展,护理研究,17(8a):880-881)
Song G.Q.,Qiao X.F.,Guo B.,Xu J.X.,Lu X.X.,and Sun X.,2008,The influential factors of phlebitis in patients with intravenous cannula,Huli Xuebao(Journal of Nursing),15(2):11-13(宋瑰琦,乔晓斐,郭兵,许家秀,鲁先秀,孙新,2008,静脉留置针患者发生静脉炎的影响因素分析,护理学报,15(2):11-13)
Xie X.M.,2002,Clinical use of venous indwelling trocar and nursing of the patients,Huli Yanjiu(Chinese Nursing Research),16(2):73-74(谢贤敏,2002,静脉留置针的临床应用及护理,护理研究,16(2):73-74)
Yang H.W.,Yu Z.Z.,and Ren H.,2008,Study on proper use of skin disinfectant,Jiefangjun Huli Zazhi(Nursing Journal of Chinese People's Liberation Army),25(12):12-14(杨红薇,于志臻,任慧,2008,几种常用皮肤消毒剂消毒效果的评价,解放军护理杂志,25(12):12-14)
Yang L.J.,Zou J.M.,Ni X.M.,Cao M.,and Xiong W.,2013,Three kinds of PICC intubation pathway and mechanical phlebitis complications of c omparative analysis,Xiandai Shengwu Yixue Jinzhan(Progress in Modern Biomedicine),13(34):6676-6678(杨玲娟,邹金梅,倪雪梅,曹梅,熊玮,2013,三种PICC置管途径并发机械性静脉炎的比较分析,现代生物医学进展,13(34):6676-6678)
Zhao B.L.,and Zhang Y.C.,2003,Local infection of 15 neonates caused by retention needles in peripheral nerves,Henan Keji Daxue Xuebao(Yixueban)(Journal of Henan University of Science&Technology(Medical Science)),21(1):69(赵柏丽,张永超,2003,外周静脉留置针引起新生儿局部感染15例,河南科技大学学报(医学版),21(1):69)
Zhou J.L.,Wu S.P.,and Wu J.S.,2003,Central venous catheter colonization and related bacteremia,Zhongguo Ganran Yu Hualiao Zazhi(Chinese Journal of Infection and Chemotherapy),3(5):269-272(周建良,吴诗品,吴劲松,2003,中心静脉导管细菌定植和相关菌血症,中国感染与化疗杂志,3(5):269-272)