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时间:2020-05-23
《静脉留置针中药封管方法在肝硬化患者中的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、中华现代护理杂志2014年7月26日第2O卷第21期ChinJModNurs,July26,2014。Vo1.20,No.21·2705·.技术.方法.静脉留置针中药封管方法在肝硬化患者中的应用何竹施亚玲蒋晓芳沈兰车国慧罗丽【摘要】目的探讨使用静脉留置针的肝硬化患者采用输液器内丹参冻干稀释液进行正压封管的效果。方法将201例使用静脉留置针的肝硬化患者采用随机数字表法分为3组,每组各67例。对照组采用传统方法肝素液5ml(50U/m1)进行正压封管;观察1组采用丹参冻干稀释液5ml进行正压封管;观察2组采用正在输液的丹参冻干稀释液约5ml(4mg/m1)直接进行正压
2、封管。比较3组患者置管前和拔管后凝血功能、堵管率、出血倾向、静脉炎发生率和平均封管时间。结果对照组、观察1组、观察2组堵管率分别为6.2%,10.8%,7.6%,出血倾向发生率分别为12.3%,6.2%,13.8%,静脉炎发生率分别为9.2%,4.6%,7.7%,3组比较差异均无统计学意义(×2值分别为0.83,0.40,0.48;P>0.05)。对照组、观察1组、观察2组患者拔针后凝血酶原时间(PT)分别为(18.16±4.82),(17.64±3.96),(17.28±3.89)s,3组比较差异无统计学意义(F=0.71,P>0.05)。观察1组平均封管时问为
3、(49.26±4.78)s,观察2组为(33.41±3.91)s,差异有统计学意义(t=40.66,P<0.O1)。结论3种静脉留置针封管方法均安全有效,采用输液器内治疗的中药丹参冻干稀释液直接进行正压封管,优化护理流程,减轻患者、家属及社会的经济负担,值得临床推广。【关键词】肝硬化;中药封管;静脉留置针ApplicationofChinesemedicinemethodofsealingintravenousindwellingcatheterinthehepatocirrhosispafien~HeZhu,ShiYaling,JiangXiaofang,She
4、nl_an,CheGuohui,LuoLi.DepartmentofNursing,HospitalofTraditionMedicine.SC,Leshan614000,ChinaCorrespondingauthor:HeZhu。Email:619707976@qq.con【Abstract】ObjectiveToexploretheefectofpositivepressuresealingintravenousindwellingcatheterinthehepatocirrhosispatientsbytheSalvialyophilizeddiluti
5、onintheapparatusinfusionis.MethodsTwohundredandonehepatocirrhosispatientswithintravenousindwellingcatheterwerechosenanddividedintothreegroupsaccordingtotherandomnumbertable,eachwith67cases.Thecontrolgroupreceivedthetraditionalpositivepressuresealingtubethroughheparinsolution(5ml,50U/m
6、1),andthetestgroup1receivedthepositivepressuresealingtubethroughSalvialyophilizeddilution(5m1),andthetestgroup2receivedthedirectpositivepressuresealingtubethroughtheSalvialyophilizeddilution(5ml,4mg/m1)intheapparatusinfusionis.Thecoagulationfunction,therateofjamming,bleedingtendency,i
7、ncidencerateandtheaveragetimeofsealingtubeofphlebitiswerecomparedamongthreegroupsbeforetheindwellingcatheterandaftertheextubationcatheter.ResultsTheratesofjammingwererespectively6.2%,10.8%and7.6%inthecontrolgroup,thetestgroup1and2,andtheincidenceratesofbleedingtendencywererespectively
8、12.3%
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