首页|不同长度的中线导管在静脉穿刺困难患者中的应用研究

不同长度的中线导管在静脉穿刺困难患者中的应用研究

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目的 观察两种长度的中线导管在静脉穿刺困难患者短期输液治疗中的应用效果.方法 按随机数字表将156例静脉穿刺困难患者分为试验组和对照组,各78例.试验组置入10 cm迷你中线导管,对照组置入25 cm中线导管,比较两组导管相关并发症的总发生率、因并发症拔管率、导管留置时间.结果 导管相关并发症总发生率试验组为33.33%、对照组为11.54%,x2=10.646,P=0.002;因并发症拔管率试验组为17.95%、对照组为2.56%,x2=10.029,P=0.003;导管留置时间试验组为6.00(5.00,6.00)d、对照组为5.00(5.00,6.00)d,Z=0.617,P=0.537.结论 在短期输液治疗的静脉穿刺困难患者中,迷你中线导管相关并发症总发生率及因并发症拔管率均高于25 cm中线导管,但两者的留置时间并无差异.
Comparative analysis of midline catheters of varying lengths in patients with difficult intravenous ac-cess punctures
Objective This study aimed to observe the application effectiveness of two different lengths of midline cathe-ters in short-term infusion therapy for patients with difficult intravenous access.Methods A total of 156 patients experien-cing difficult intravenous access were randomly assigned into two groups:the test group(78 cases)and the control group(78 cases).The test group received a 10 cm mini midline catheters,while the control group received a 25 cm midline cathe-ters.The study compared the total incidence of catheter-related complications,the rate of catheter extubation due to compli-cations,and the duration of catheter retention between the two groups.Results The test group exhibited a higher total inci-dence of catheter-related complications(33.33%vs.11.54%)and a higher rate of catheter extubation due to complications(17.95%vs.2.56%)compared to the control group,with statistically significant differences(x2=10.646,P=0.002;x2=10.029,P=0.003).However,there was no significant difference in the catheter retention time between the two groups(Z=0.617,P=0.537).Conclusion In patients with difficult intravenous access requiring short-term infusion thera-py,the total incidence of complications related to mini-midline catheters and the rate of catheter extubation due to complica-tions were higher than those of 25 cm midline catheters.However,there was no significant difference in the duration of catheter retention between the two groups.

midline cathetersperipheral venous catheterdifficult intravenous accesscomplicationsnursing

盛婉婷、杨小惠、于卫华、曹秀珠、曾旭芬、金向红、赵林芳

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浙江大学医学院附属邵逸夫医院,浙江杭州 310020

中线导管 外周静脉导管 静脉穿刺困难 并发症 护理

浙江省医药卫生科技计划基金项目

2023KY803

2024

护理与康复
浙江省护理学会

护理与康复

影响因子:1.174
ISSN:1671-9875
年,卷(期):2024.23(1)
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