| 摘 要: 目的 比较中线导管与静脉留置针在急性中毒患者静脉输液治疗中相关并发症的发生情况, 探讨中线导管在急性中毒患者静脉输液中的临床应用价值。方法 选择2019年1月至2020年6月收治的106例急性中毒患者为研究对象,将采用中线导管治疗的56 例患者作为中线导管组,选取同期采用普通前臂静脉留置针建立静脉通路的50例患者作为对照组。比较两组穿刺处渗液、穿刺处渗血、静脉炎、疼痛、输液部位肿胀、输液不畅/导管堵塞、导管移位/脱出并发症发生情况。结果 中线导管组患者穿刺处渗液、疼痛、输液部位肿胀、输液不畅/导管堵塞发生率均低于对照组(P<0.05)。结论 急性中毒患者静脉输液选用中线导管效果明显优于静脉留置针。 |
| 关键词: 中线导管 静脉留置针 输液 急性中毒 并发症 |
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中图分类号: R595. 4
文献标识码: A
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| 基金项目: 山东大学齐鲁医院临床研究项目 |
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| Application of midline catheter and intravenous indwelling needle in intravenous infusion of acute poisoning patients |
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LÜ Shizhen
,WEN Zixin,LI Yaqian,SHI Longke,YU Guangcai,JIAN Xiangdong, ZHAO Feng′e
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Department of Nursing, Qilu Hospital, Shandong University; Department of Poisoning and Occupational Disease, Emergency Medicine, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China
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| Abstract: Objective To compare the incidence of complications between midline catheter and intravenous indwelling needle in intravenous infusion therapy of acute poisoning patients, and to explore the clinical application value of midline catheter in intravenous infusion therapy of acute poisoning patients. Methods One hundred and six patients with acute poisoning admitted from January 2019 to June 2020 were selected as the study objects, fifty-six patients with acute poisoning treated with midline catheter were selected as the midline catheter group, and 50 patients with acute poisoning established with common forearm venous indentation needle during the same period were selected as the control group. The incidence of fluid seepage, blood seepage at puncture, phlebitis, pain, swelling of infusion site, infusion obstruction/catheter blockage, catheter displacement or extravasation were compared between the two groups. Results The incidence rates of fluid seepage, pain, swelling of infusion site, infusion obstruction/catheter blockage in the midline catheter group were lower than those in the control group. Conclusion In the treatment of acute poisoning patients with intravenous infusion, the effect of using midline catheter is better than that of intravenous indwelling needle. |
| Keywords: midline catheter intravenous indwelling needle intravenous infusion acute poisoning complications |
