Open Access Article
International Journal of Nursing Research. 2023; 5: (5) ; 50-52 ; DOI: 10.12208/j.ijnr.20230216.
Discussion on the application effect of different tip positions of the modified medium-length catheter
改良中等长度导管不同尖端位置应用效果探讨
作者:
于亚琼,
刘宗淑 *,
郑艳萍,
张春霞,
王小丽
甘肃省人民医院肿瘤外科乳腺科 甘肃兰州
*通讯作者:
刘宗淑,单位:甘肃省人民医院肿瘤外科乳腺科 甘肃兰州;
发布时间: 2023-05-29 总浏览量: 175
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摘要
目的 探讨改良中等长度静脉导管尖端位于不同位置的临床应用效果。方法 选取自2022年1月至2022年12月进入我院接受治疗的120例改良中长导管置管患者为本次的研究对象。置管后对他们实施常规的胸部正位片确定导管尖端位置,并根据导管的尖端位置将其将其分为锁骨下静脉组、头臂干静脉组和胸壁段腋静脉组三组。然后分别对三组导管存在的并发症(如导管所致的静脉炎、相关性血栓、感染、渗血和导管堵塞等)发生率、非计划拔管率、导管留置时间进行对比。结果 试验组和对照组的导管相关并发症总发生率分别为9.93%、14.63%,并发症拔管率分别为2.13%、4.07%,P<0.05,具备统计学意义。并发症所致的拔管率明显比对照组低,差异明显,具有统计意义,且试验组及对照组在导管的留置时间上,数据也有明显差异,具有统计学意义(P<0.017)。结论 改良中等长度静脉导管尖端位于锁骨下静脉和头臂静脉干时,导管相关并发症发生率较低,留置时间较长,综合分析来看,更适宜临床应用。
关键词: 导管长度;不同尖端位置;留置观察;并发症
Abstract
Objective: To explore the clinical application effect of improving the tip of medium length venous catheters at different positions. Method Convenience: 120 patients with modified medium and long catheterization in our hospital from January 2022 to December 2022 were selected as the study subjects. After catheterization, a routine chest X-ray was performed to determine the position of the catheter tip. According to the position of the catheter tip, it was divided into three groups: subclavianvein group, brachiocephalic trunk vein group, and chest wall axillary vein group. Compare the incidence rate, unplanned extubation rate, and catheter retention time of complications such as catheter induced phlebitis, related thrombosis, infection, bleeding, and catheter blockage among the three groups of catheters. The total incidence of catheter related complications in the experimental group and the control group were 9.93% and 14.63%, respectively, and the extubation rates of complications were 2.13% and 4.07%, with P<0.05, indicating statistical significance. The extubation rate caused by complications is significantly lower than that of the control group, with significant differences and statistical significance. Moreover, there is a significant difference in the retention time of the catheter between the experimental group and the control group, with statistical significance (P<0.17). Conclusion : When the tip of the modified medium length venous catheter is located in the subclavian vein and brachiocephalic vein trunk, the incidence of catheter related complications is lower, the retention time is longer, and it is more suitable for clinical application.
Key words: Catheter length; Different tip positions; Retention observation; complication
参考文献 References
[1] 胡明明,沈小芳,顾平,等. 国外中等长度导管的应用研究及启示[J].护理学报,2015,22(12):33.
[2] Gorski LA,Eddins J,Hadaway L,et al. Infusion nursing standards of practice[J]. J InfusNurs,2013,34(1S):S37.
[3] 刘贞,毛连娜,王兆辉,等. 中线导管在肾移植术后患者中的应用及管理[J]. 中华现代护理杂志,2019,25(32):4216.
[4] 刘五藏. 脑梗塞中线导管置管患者采用综合护理干预的依从性与并发症观察[J]. 现代诊断与治疗, 2019,30(16):2925.
[5] 高永丽柯静晏海维李如艳柳叶. 改良型中等长度导管在急性脑卒中偏瘫患者中的应用效果[J]. 当代护士(综合版), 2021, 028(009):80-82.
[6] 肖智, 孙玉红, 张海荣,等. 改良型中等长度导管在输注高渗液的应用研究[J]. 中外医疗, 2022, 41(1):175-179.
[7] 刘芮芳, 李琳琳, 胡培,等. 中等长度导管在神经梅毒患者静脉输液治疗中的应用效果分析[J]. 中国医药指南, 2022, 20(36):4.
[8] 徐兵, 杨丽娟, 戴明红,等. 中等长度导管在危重新生儿静脉输液中的应用效果[J]. 循证护理, 2022, 8(9):3.
[9] 王雅萍, 赵林芳, 曹秀珠. 中等长度导管在孕晚期期待疗法患者中应用的循证依据及护理[J]. 护理与康复, 2023, 22(2):3.
[10] 常林, 高娇, 阚天燕. 中等长度导管在重症监护患者安全输液中的应用及效果评价[J]. 宁夏医学杂志, 2022, 44(3):3.
[11] 鲁华鹏, 马梅, 何晴,等. 中等长度导管及经外周静脉穿刺中心静脉置管导管相关血流感染发生率的Meta分析[J]. 中国感染控制杂志, 2021, 20(4):11.
[12] 金歌, 马丽霞, 王丹,等. 高颅压患者经中等长度静脉导管输注甘露醇注射液导管相关并发症的影响因素[J]. 新乡医学院学报, 2021, 38(10):4.
[13] 刘鑫, 田莎, 段栩飞,等. 经胸心脏超声辅助导管尖端定位在儿童完全植入式静脉输液港植入术中的应用效果[J]. 第二军医大学学报, 2021, 42(6):5.
引用本文
于亚琼, 刘宗淑, 郑艳萍, 张春霞, 王小丽, 改良中等长度导管不同尖端位置应用效果探讨[J]. 国际护理学研究, 2023; 5: (5) : 50-52.