两种消毒方法对外周静脉留置针穿刺部位消毒效果的评价.docVIP

精品论文 参考文献 两种消毒方法对外周静脉留置针穿刺部位消毒效果的评价 （中南大学湘雅医院 湖南,长沙,410008） 【摘要】目的：比较两种不同的消毒方法对外周静脉留置针穿刺部位的消毒效果。方法：选取2015年1月~2015年3月在我院进行外周静脉留置针治疗的患者78例，随机分为观察组和对照组，对照组采用2%络合碘消毒两遍，观察组采用2%络合碘消毒两遍+75%酒精消毒一遍，观察两组的待干时间、留置时间、贴膜卷边和静脉炎发生情况，分析两组的消毒效果。结果：观察组待干时间（21.7plusmn;7.0s）显著短于对照组（37.0plusmn;9.9s），贴膜卷边发生18.42%显著低于对照组40.00%，差异具有统计学意义（Plt;0.05）；观察组留置时间与对照组无显著差异，静脉炎发生情况为0与对照组12.50%无显著差异，差异无统计学意义（Pgt;0.05）。结论：外周静脉留置针穿刺前采用2%络合碘消毒两遍+75%酒精消毒一遍的方法可以有效缩短待干时间，减少固定贴膜卷边发生；但对留置时间和静脉炎发生情况无显著改变，具有安全可靠的特点，值得在临床上进一步推广。 【关键词】消毒方法；静脉炎 【中图分类号】R472 【文献标识码】A 【Abstract】Objective：To compare two different disinfection methods for disinfection effect of vein indwelling needle puncture.Methods：78 cases of patients From January 2015 to March 2015 in our hospital for intravenous indwelling needle treatment were randomly divided into observation group and control group,control group adopting complexing iodine disinfection twice,observation group adopting complexing iodine disinfection twice and alcohol disinfection once,Film of edge and phlebitis were observed and the disinfection effect was analyzed.Results：Observation group for dry (21.7plusmn;7.0s)time significantly shorter than the control group (37.0 plusmn; 9.9s) ,incidence of film edge 18.42%,the lower than the control group 40.00%，differences statistically significant (Plt;0.05);Observation group indwelling time there was no significant difference with control group,the incidence of phlebitis is0 and the control group 12.50%,significant difference,there was no statistically significant difference (Pgt;0.05).Conclusion：Peripheral vein indwelling needle by 2% povidone iodine disinfection method of two times + 75% alcohol disinfection again can effectively shorten the time to be dry,reduce fixed film roll edge;but on the indwelling time and phlebitis had no significant change,with safe and reliable, worthy of further promotion in clinical. 【Key words】Disinfection method；Phlebitis 外周静脉留置针（vein detained needle）在临床应用中使用方便，它可以避免反复穿刺的痛苦和对血管损伤，对于急、危、重症患者，可以