首页|仅用生理盐水冲封管在三向瓣膜式中长导管留置输液中的应用效果

仅用生理盐水冲封管在三向瓣膜式中长导管留置输液中的应用效果

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目的:探讨仅用生理盐水冲封管在三向瓣膜式中长导管留置输液中的应用效果.方法:回顾性分析 2021 年 3 月至 2022 年2月在该院行静脉留置导管输液治疗的160例肺结核病患者的临床资料,根据封管方式不同将其分为对照组和观察组各80例.两组均留置三向瓣膜式中长导管输液 7 周左右,对照组采用生理盐水脉冲式冲管联合 100 U/mL肝素溶液正压封管,观察组仅用生理盐水冲封管.比较两组导管留置时间、住院时间、单次封管费用、封管平均用时、不良事件发生率及护理满意度.结果:观察组导管留置时间长于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05);观察组单次封管费用少于对照组,封管平均用时短于对照组,差异均有统计学意义(P<0.05);两组导管堵塞、血流感染、静脉炎发生率比较,差异均无统计学意义(P>0.05);观察组护理满意度为 96.25%(77/80),高于对照组 81.25%(65/80),差异有统计学意义(P<0.05).结论:仅用生理盐水冲封管用于三向瓣膜式中长导管留置输液患者能有效延长导管留置时间,缩短封管平均用时和住院时间,降低封管费用,提高护理满意度,且不增加导管堵塞、血流感染、静脉炎的发生率,效果优于生理盐水冲管联合肝素溶液封管.
Application effects of only physiological saline flushing and sealing tube in three-way valve type medium-length catheter indwelling infusion
Objective:To explore application effects of only physiological saline flushing and sealing tube in three-way valve type medium-length catheter indwelling infusion.Methods:The clinical data of 160 patients with pulmonary tuberculosis who underwent intravenous indwelling catheter infusion in this hospital from March 2021 to February 2022 were retrospectively analyzed.According to the different sealing methods,they were divided into control group and observation group,80 cases in each group.Both groups were treated with three-way valve-type medium-length catheter infusion for about 7 weeks.The control group was treated with physiological saline pulse-type flushing combined with 100 U/mL heparin solution positive pressure sealing,while the observation group was only treated with physiological saline flushing.The catheter indwelling time,the hospitalization time,the single sealing cost,the average sealing time,the incidence of adverse events,and the nursing satisfaction were compared between the two groups.Results:The catheter indwelling time of the observation group was longer than that of the control group,the hospitalization time was shorter than that of the control group,and the differences were statistically significant(P<0.05).The single sealing cost in the observation group was less than that in the control group,the average sealing time was shorter than that in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of catheter blockage,bloodstream infection and phlebitis between the two groups(P>0.05).The nursing satisfaction of the observation group was 96.25%(77/80),which was higher than 81.25%(65/80)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Only Physiological normal saline sealing for the patients with three-way valve type medium-length catheter indwelling infusion can effectively prolong the catheter indwelling time,shorten the average sealing time and the hospitalization time,reduce the sealing cost,improve the nursing satisfaction,and do not increase the incidence of catheter blockage,bloodstream infection and phlebitis.Moreover,it is superior to physiological saline flushing combined with heparin solution sealing.

Physiological salinePulse-type flushingPositive pressure sealingHeparinMedium-length catheterNursingVenous indwelling catheter

吕娅敏、李素红、程萌、孙书贞

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河南省胸科医院 河南省传染病(结核病)临床医学研究中心,河南 郑州 450000

生理盐水 脉冲式冲管 正压封管 肝素 中长导管 护理 静脉留置导管

河南省医学科技攻关计划联合共建项目

LHGJ20210235

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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