战救训练平台股静脉留置针输液方法探讨
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摘要
目的探讨海、陆、空不同伤员运输条件下股静脉留置针输液方法。方法对20名边海防军医学员进行为期一周战救训练平台模拟海、陆、空伤员运输条件下股静脉留置针输液强化训练,训练由易到难逐步展开,重点训练平台复杂运动条件下股静脉留置针穿刺置管方法,并将实战操作无菌观、敌情观、时间观、爱伤观(简称实战操作"四观")及风险管理贯穿训练始终。结果战救训练平台股静脉留置针输液考核优良率80%、一次穿刺成功率80%、规定时限完成率90%。结论利用战救训练平台开展股静脉留置针输液训练,可提高实战条件下救护人员多渠道静脉输液技能,为复杂运动条件下股静脉留置针输液提供成熟的可借鉴经验。
Objective To explore the infusion methods of femoral vein indwelling needle under sea,land,and air transportation.Methods Twenty frontier defense medical students were given a-week intensive training of femoral vein indwelling needle infusion on the rescue training platform of war wound under sea,land and air transportation.Training was from easy to difficult gradually.The femoral vein indwelling needle infusion methods under complex exercise conditions were key training.The aseptic concept,enemy view,saving time,patients' care("four concepts"of actual combat)and risk management were throughout the whole training.Results The good rate of femoral vein indwelling needle infusion on the rescure training platform of war wound,one-time success rate of puncture,limit completion rate were 80%,80% and 90%,respectively.Conclusion The training of femoral vein indwelling needle infusion by using rescue training platform can improve multi-channel intravenous infusion skills of rescure people for providing referential experiences of femoral vein indwelling needle infusion under complex exercise conditions.
Objective To explore the infusion methods of femoral vein indwelling needle under sea,land,and air transportation.Methods Twenty frontier defense medical students were given a-week intensive training of femoral vein indwelling needle infusion on the rescue training platform of war wound under sea,land and air transportation.Training was from easy to difficult gradually.The femoral vein indwelling needle infusion methods under complex exercise conditions were key training.The aseptic concept,enemy view,saving time,patients' care("four concepts"of actual combat)and risk management were throughout the whole training.Results The good rate of femoral vein indwelling needle infusion on the rescure training platform of war wound,one-time success rate of puncture,limit completion rate were 80%,80% and 90%,respectively.Conclusion The training of femoral vein indwelling needle infusion by using rescue training platform can improve multi-channel intravenous infusion skills of rescure people for providing referential experiences of femoral vein indwelling needle infusion under complex exercise conditions.
引文
[1]曲延峰,周冬雪.实装实景战地静脉输液训练模式的应用效果[J].解放军护理杂志,2010,27(21):1616-1617,1620
[2]陈明华,张铨,阮丁异,等.可控性野战输液装置的设计研究[J].医疗卫生装备,2010,31(10):76-77
[3]尚艳,席芳.多功能车载式战救训练平台静脉输液训练的研究[J].西北国防医学杂志,2015,38(8):540-543
[4]淮瑾,慕北娜,马如兰.微光下静脉输液的考核方法及操作失败原因分析[J].西北国防医学杂志,2012,33(6):693-694
[5]席芳,陈竺,尚艳,等.动态模拟救护技能训练平台的研制与应用[J].医疗卫生装备,2016,37(6):48-50
[6]尚艳,席芳.多功能车载式战救训练平台静脉输液训练的研究[J].西北国防医学杂志,2015,36(8):540-543
[7]沈朝辉,席芳,尚艳.CD-1型车载式多功能战救训练平台的设计[J].大家健康,2016,10(18):6-7
[8]贾萍,李强,胡军,等.机动车船模拟训练器在静脉输液培训中的应用[J].护理管理杂志,2014,14(9):681-682
[9]郭金玉,杨杰,周颖,等.留置针在静脉输液治疗中的应用进展[J].中华护理杂志,2015,50(10):1240-1244
[10]冯小红.股静脉穿刺置管术在危重病人应用中的护理探讨[J].临床医学工程,2013,20(2):237-238
[11]段军伟,谭敏,唐晓平,等.静脉留置针行股静脉穿刺输液在神经外科脑疝患者术前抢救中的应用[J/CD].中华临床医师杂志(电子版),2011,5(1):218-220
[12]王凯,鲍杨,史东平.超声引导下股静脉穿刺置管在颅脑外科急诊手术中的应用[J].中华灾害救援医学,2017,5(7):368-371
[13]许艳丽.股静脉留置针在神经外科危重抢救中的应用[J].中国误诊学杂志,2003,3(9):1427
[14]杨兴芝,段红林,肖学芹,等.静脉留置针股静脉穿刺输液在综合ICU的应用[J].中国误诊学杂志,2008,8(5):1114
[15]黎阳,蒋先洪,米永华.股静脉穿刺置管临床并发症发生及处理分析[J].四川医学,2012,33(5):827-829
[16]张舒民.36例股静脉穿刺置管术的分析[J].中国医药指南,2013,11(27):383-384
[17]尚艳,张戎,沈朝辉.多功能车载式战救训练平台在静脉输液风险管理的研究[J].西北国防医学杂志,2016,37(9):626-628
[2]陈明华,张铨,阮丁异,等.可控性野战输液装置的设计研究[J].医疗卫生装备,2010,31(10):76-77
[3]尚艳,席芳.多功能车载式战救训练平台静脉输液训练的研究[J].西北国防医学杂志,2015,38(8):540-543
[4]淮瑾,慕北娜,马如兰.微光下静脉输液的考核方法及操作失败原因分析[J].西北国防医学杂志,2012,33(6):693-694
[5]席芳,陈竺,尚艳,等.动态模拟救护技能训练平台的研制与应用[J].医疗卫生装备,2016,37(6):48-50
[6]尚艳,席芳.多功能车载式战救训练平台静脉输液训练的研究[J].西北国防医学杂志,2015,36(8):540-543
[7]沈朝辉,席芳,尚艳.CD-1型车载式多功能战救训练平台的设计[J].大家健康,2016,10(18):6-7
[8]贾萍,李强,胡军,等.机动车船模拟训练器在静脉输液培训中的应用[J].护理管理杂志,2014,14(9):681-682
[9]郭金玉,杨杰,周颖,等.留置针在静脉输液治疗中的应用进展[J].中华护理杂志,2015,50(10):1240-1244
[10]冯小红.股静脉穿刺置管术在危重病人应用中的护理探讨[J].临床医学工程,2013,20(2):237-238
[11]段军伟,谭敏,唐晓平,等.静脉留置针行股静脉穿刺输液在神经外科脑疝患者术前抢救中的应用[J/CD].中华临床医师杂志(电子版),2011,5(1):218-220
[12]王凯,鲍杨,史东平.超声引导下股静脉穿刺置管在颅脑外科急诊手术中的应用[J].中华灾害救援医学,2017,5(7):368-371
[13]许艳丽.股静脉留置针在神经外科危重抢救中的应用[J].中国误诊学杂志,2003,3(9):1427
[14]杨兴芝,段红林,肖学芹,等.静脉留置针股静脉穿刺输液在综合ICU的应用[J].中国误诊学杂志,2008,8(5):1114
[15]黎阳,蒋先洪,米永华.股静脉穿刺置管临床并发症发生及处理分析[J].四川医学,2012,33(5):827-829
[16]张舒民.36例股静脉穿刺置管术的分析[J].中国医药指南,2013,11(27):383-384
[17]尚艳,张戎,沈朝辉.多功能车载式战救训练平台在静脉输液风险管理的研究[J].西北国防医学杂志,2016,37(9):626-628