静脉留置针患者发生静脉炎的影响因素研究

目的研究静脉留置针患者发生静脉炎的影响因素。方法 127例采用静脉留置针开展治疗的患者,按是否发生静脉炎情况分为对照组(未出现静脉炎, 96例)和观察组(出现静脉炎, 31例)。采用回顾性方式分析两组患者的临床资料(性别、年龄、静脉留置针留置时间、吸烟、穿刺不当、应用高渗药物、平均日输液量),通过分析结果对患者发生静脉炎的影响因素进行深入研究。结果两组患者性别比较差异无统计学意义(P>0.05);观察组患者年龄(>60岁占比25.81%)、静脉留置针留置时间(>120 h占比54.84%)、吸烟(占比58.06%)、穿刺不当(占比64.52%)、应用高渗药物(占比67.74%)以及平均日输液量(>1500 ml占比70.97%)与对照组(17.71%、30.21%、21.88%、12.50%、11.46%、47.92%)比较,差异均有统计学意义(P<0.05)。结论患者年龄、静脉留置针留置时间>120 h、吸烟、穿刺不当、应用高渗药物以及平均日输液量>1500 ml均会加大静脉炎发生率,针对上述危险因素及早采取有效的干预措施有助于降低静脉炎发生率,并提升治疗效果以及用药安全性,同时还能够减轻患者痛苦。

Study on the influencing factors of phlebitis in patients with intravenous indwelling needle

Objective To study the influencing factors of phlebitis in patients with intravenous indwelling needle.Methods A total of 127 patients undergoing intravenous indwelling needle were divided into control group(96 cases,without phlebitis)and observation group(31 cases,with phlebitis)according to whether phlebitis occurred or not.The clinical data(gender,age,indwelling time,smoking,improper puncture,application of hypertonic drugs,average daily infusion volume)of the two groups were analyzed retrospectively.The influencing factors of phlebitis were studied by results analysis.Results There was no statistically significant difference in gender between the two groups(P>0.05).Compared with the control group(17.71%,30.21%,21.88%,12.50%,11.46%,47.92%),the observation group had statistically significant differences in age(>60 years,25.81%),indwelling time(>120 h,54.84%),smoking(58.06%),improper puncture(64.52%),hypertonic drugs(67.74%),and average daily infusion volume(>1500 ml,70.97%)(P<0.05).Conclusion Patient age,indwelling time>120 h,smoking,improper puncture,hypertonic drugs,and average daily infusion volume>1500 ml will increase the incidence of phlebitis,early and effective interventions against the above-mentioned risk factors can help reduce the incidence of phlebitis and improve therapeutic effect and safety of medication,while also reducing patient suffering.