静脉留置针应用于神经外科的护理研究.docVIP

精品论文 参考文献 静脉留置针应用于神经外科的护理研究 刘珊 （都江堰市医疗中心神经外科 四川成都 611800） 【摘要】目的 研究探讨神经外科应用静脉留置针的护理方法，为临床护理工作提供参考。方法　将我院神经外科80例进行静脉留置针注射的患者随机分为两组，每组40例，观察组按照既定方案给予相应静脉留置针护理，对照组则不予以特殊护理，比较两组患者发生静脉留置针并发症的比例，结果进行统计学分析。结果　本研究中观察组发生留置针脱管3例，静脉炎5例，导管堵塞7例，发生率分别为7.5%、12.5%和17.5%；而对照组以上三项并发症的发生例数为11例、7例和13例，发生率为27.5%、17.5%和32.5%；两组数据相比较均有统计学意义（P＜0.05）。结论　静脉留置针是神经外科常用的抢救治疗措施，可以快速有效的进行补液，同时减少患者反复穿刺静脉的痛苦和护理工作量，但与此同时也会发生多种并发症，需要针对性采取护理措施以提高静脉留置针的安全性。 【关键词】静脉留置针 神经外科 护理研究 【中图分类号】R473.74【文献标识码】A【文章编号】2095-1752（2012）34-0112-02 The study of nursing for vein indwelling needle in neurosurgery Liu Shan 【Abstract】Objective: To study nursing for vein indwelling needle in neurosurgery to provide envidence in future work. Methods: Choosed 80 paitents treated with vein indwelling needle to divide into study group and controlled group with 40 cases. Study group were nursed with special scheme, and controlled group with no special nursing care. Compared complication from vein indwelling needle in these two groups. Results: There were 3 cases Indwelling needle to take off the tube, 5 cases phlebophlogosis, 7 cases catheter obstruction, the incidene rate was 7.5%, 12.5%, 17.5% respectively. And There were 11 cases, 7 cases and 13 cases happend these three complication, and incidence rate was 27.5%, 17.5% and 32.5%. There was difference (plt;0.05). Conclusion: Vein indwelling needle could rapid and effective for fluid infusion, and at the same time reduce the pain of patients with repeated puncture veins and nursing workload, but at the same time also can produce a variety of complications, need to take pertinent nursing measures in order to improve the safety of intravenous indwelling needle. 【Key words】 vein indwelling needle neurosurgery nursing 神经外科是医院例急危重症患者尤为集中的地方，多为进行脑血管以为患者，包括脑出血，脑梗死，蛛网膜下腔出血以及颅脑损伤等。此类患者往往病情严重，发展迅速而复杂，治疗效果不稳定，预后不理想，在抢救过程中多需要紧急输注各类液体和药物，因此为了避免反复穿刺静脉，减少护理工作量，静脉留置针成了一项极为有用的措施。静脉留置针又称套管针，穿刺成功后退出针芯，将柔软的套管留置于血管内，这样在后续的输注中操作比较简单，有利于血管保护，但临床护理中