|
|
|
| Application of integrated positive pressure needle-free indwelling needle in intravenous therapy of drug dddicts |
| WEN Wen TONG Li-ling▲ WU Dan |
| Affiliated Haikou Hospital of Xiangya Medical College, Central South University, Hainan Province, Haikou 570208,China |
|
|
|
|
Abstract Objective To explore the application of integrated positive pressure needle-free indwelling needle in intravenous therapy of drug addicts.Methods A total of 150 drug addicts admitted to Affiliated Haikou Hospital of Xiangya Medical College, Central South University from January 2018 to December 2019 were selected as the research objects and divided into the observation group (50 cases), and the control group 1 (50 cases), and control group 2 (50 cases) according to the random number table method.The observation group：was integrated positive pressure needle-free indwenting-needle infusion;control group 1 was used 24 G closed indwerable needle connected with heparin cap infusion;control group 2 was used closed indwelling needle connection separator diaphragm without needle joint infusion.The duration of indwelling and complications during indwelling were compared among the three groups (blocked tube,needle puncture wound, intraductal blood loss, phlebitis, extravasation, and extravasation at puncture point).Results The indwelling time of the needle in the observation group, the control group 1 and the control group 2 were (4.89±0.21) d, (3.32±0.28) d and (3.87±0.28) d respectively, which was longer than that in the control group 1 and the control group 2, the differences were statistically significant (P＜0.05).The proportion of cases in the observation group, the control group 1 and the control group 2 during the indwelling of the indwelling needle were 4%, 0%,10%;28%,16%,72%;28%,16%, 72% respectively.The incidence of blocked tubes, needle stick injuries, and intrathecal blood recovery in the observation group were lower than that in the control group 1 and 2, with statistical differences (P＜0.05).The propotion of the cases of phlebitis, extravasation and blood extravasation at the puncture point during indwelling needle in the observation group, the control group 1 and the control group 2 were 16%, 6%, 8%;12%, 12%, 16%;12%, 12%, 16% respectively, the phlebitis, extravasation, and extravasation at puncture point in the observation group were compared with those in control group 1 and control group 2 showing no statistically significant differences (P＞0.05).Conclusion Integrated positive pressure needle-free indwelling needle indwelling needle can prevent tube plugging, prolong catheter indwelling time, reduce vascular damage caused by repeated puncture and puncture times, protect blood vessels of patients, and reduce the occurrence of phlebitis.
|
|
Received: 29 May 2020
|
|
|
|
| [1] |
田振和.禁毒戒毒知识手册[M].南宁：广西民族出版社，2005：1-39.
|
| [2] |
孙俊.静脉吸毒引起的周围血管损伤及治疗情况探讨[A].中华中医药学会.中华中医药学会防治艾滋病分会第八次年会论文集[C].中华中医药学会：中华中医药学会，2011.
|
| [3] |
张艳华，李英，王晓晨.静脉吸毒患者急诊手术33 例静脉穿刺的观察[J].现代中西医结合杂志，2010，19（5）：612.
|
| [4] |
杨玉金，余娇.护理工作者接触吸毒人员的防护对策[J].中华医院感染学杂志，2011，21（11）：2310-2311.
|
| [6] |
刘晓婷，付雪梅.品管圈在降低留置针堵管率管理中的应用[J].中外医学研究，2016，14（1）：73-74.
|
| [5] |
Rickard CM，Mccann D，Munnings J，et al.Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite：a randomised controlled trial[J].BMC Med，2010，8（1）：1-10.
|
| [7] |
沈珍珍，袁红霞.一体化正压留置针在颅脑外伤患者中的临床应用效果观察[J].实用临床护理学电子杂志，2018，3（37）：104-105.
|
| [8] |
赵丽群，唐四元，贺艳.心血管患者外周静脉留置针最佳留置时间探讨[J].医学临床研究，2013，30（2）：404-405.
|
| [9] |
刘同云.新型正压无针连接式留置针在儿科的应用价值分析[J].当代医药论丛，2014，12（8）：68-69.
|
| [10] |
何肃妹，林扇，刘曼华.防堵管静脉留置针临床应用效果观察[J].齐齐哈尔医学院学报，2016，37（33）：4220-4221.
|
| [11] |
雷雪，杨楠.静脉留置针堵管原因及护理对策[J]今日健康，2014，13（6）：214.
|
| [12] |
张莉.静脉留置针在老年心血管病人的应用护理体会[J].中华现代护理杂志，2011，18（2）：177-178.
|
| [13] |
杨宏艳.NS 导管维护指南解读[A].中华护理学会.中华护理学会全国肿瘤护理新进展研讨会、第8 届全国造口、伤口、失禁护理学术交流会议、全国外科护理学术交流会议、全国神经内、外科护理学术交流会议大会资料[C].中华护理学会：中华护理学会，2011.
|
| [14] |
耿小英，赵改婷，高荣花.静脉留置针留置时间的实验研究[J]护理学杂志，2012，2（1）：15-16.
|
| [15] |
戴燕妮，桂慧华.安全留置针配合可来福接在OG-TT 采血中应用[J]护理学报，2008，23（13）：39-40.
|
|
|
|
