输液加温联合局部液体敷料预防周围静脉PN输注病人静脉炎的效果观察

发布时间：2018-04-20 01:01

本文选题：输液加温 + 液体敷料涂抹　；参考：《肠外与肠内营养》2017年05期

【摘要】：目的 :探讨短期胃肠外营养病人,采用输液加温联合液体敷料局部涂抹对外周静脉留置针PN输注病人静脉炎的预防效果。方法 :选择我院2015年10月至2016年8月,进行胃肠外营养的病人150例,采用随机单盲对照法分为两组,对照组75例给予液体敷料涂抹、观察组75例在液体敷料涂抹基础上联合输液恒温器加温,观察两组病人静脉炎发生情况和输注过程中置管部位及肢体疼痛程度、平均留置时间。结果 :两组病人静脉炎发生率的比较,观察组显著低于对照组(P0.01);两组病人输液中置管部位及肢体疼痛程度比较,观察组显著低于对照组(P0.005)及拔针后置管部位疼痛比较,观察组显著低于对照组(P0.01)。两组病人平均静脉留置针留置时间的比较观察组显著长于对照组(P0.001);结论 :输液加温联合液体敷料涂抹能有效预防外周静脉留置针输注PN病人静脉炎的发生率,提高病人输液安全和舒适度。
[Abstract]:Objective: to investigate the effect of intravenous heating combined with liquid dressing on the prevention of phlebitis in patients with short term parenteral nutrition. Methods: 150 patients with parenteral nutrition in our hospital from October 2015 to August 2016 were randomly divided into two groups. 75 cases in the control group were smeared with liquid dressing. In the observation group, 75 cases were treated with infusion thermostat on the basis of liquid dressing smear. The occurrence of phlebitis, the degree of pain in the tube and limb during infusion, and the average retention time were observed in the two groups. Results: the incidence of phlebitis in the observation group was significantly lower than that in the control group (P 0.01), and the pain degree in the tube insertion and limb pain in the two groups was significantly lower than that in the control group (P 0.005). The observation group was significantly lower than the control group (P 0.01). Comparison of the mean indwelling time of intravenous indwelling needle between the two groups the observation group was significantly longer than the control group in P0.001.Conclusion: warm infusion combined with liquid dressing can effectively prevent the incidence of phlebitis in patients with PN treated with peripheral venous indwelling needle. Improve patient infusion safety and comfort.
【作者单位】：潍坊医学院附属医院消化科;
【分类号】：R472

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