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小儿静脉留置针改良固定法的应用效果评价

机译:小儿静脉留置针改良固定法的应用效果评价

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Abstract:Objective To evaluate the modified method in fixation of venous indwelling needle for pediatric patients. Methods 〓Totally 168 pediatric patients receiving intravenous infusion by venous indwelling needles were assigned to the observation group and the control group, with 84 cases in each group. The routine method was adapted to method in fixation of venous indwelling needle, while the modified method was performed in the observation group. The condition of venous indwelling needle, visual analogue scale on pain and satisfactory degree of parents were evaluated and compared between two groups. Results 〓The compliance rate to the puncture was higher in the observation group than that of controls(92.86% vs. 73.81%, χ2=10.971, P0.05). The indwelling duration was(5.36±1.12)days in the observation group and was(3.02±1.45)days in the control group, with a significant difference(t=3.856,P0.05). The VAS score was lower in the observation group than that of controls(1.98±0.56 vs. 3.78±1.02, t=3.447, P0.05). Parents of pediatric patients in the observation group were more satisfied with the modified method in fixation of venous indwelling needles(t=5.012,P0.05). There were fewer pediatric patients with subcutaneous hematoma or catheter obstruction in the observation group than those in the control group(P0.05). Conclusion 〓The modified method in fixation is potentially effective to improve the compliance of pediatric patients, extent the indwelling time of venous indwelling needle and reduce the risk of complications induced by venous indwelling catheter.
机译:摘要:目的评价改良的小儿静脉留置针固定方法。方法〓将168例经静脉留置针静脉滴注的小儿患者分为观察组和对照组,每组84例。常规方法适应于静脉留置针固定方法,观察组采用改良方法。评估并比较两组静脉留置针的状况,视觉模拟评分表的疼痛程度和父母的满意程度。结果〓观察组穿刺依从率高于对照组(92.86%vs. 73.81%,χ2= 10.971,P <0.05)。观察组住院时间为(5.36±1.12)天,对照组为(3.02±1.45)天,差异有统计学意义(t = 3.856,P <0.05)。观察组的VAS评分低于对照组(1.98±0.56 vs. 3.78±1.02,t = 3.447,P <0.05)。观察组患儿家长对改良的静脉留置针固定方法比较满意(t = 5.012,P <0.05)。观察组患皮下血肿或导管阻塞的患儿少于对照组(P <0.05)。结论〓改良的固定方法可有效改善儿科患者的依从性,延长静脉留置针的留置时间,降低静脉留置导管引起并发症的风险。

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