护理人员循证实践基本素质构成的研究

目的评价自制小儿头皮静脉针彩色弹力固定网在小儿头皮静脉输液中的应用价值。方法将门诊136例头皮静脉输液患儿随机分为观察组69例和对照组67例。观察组使用自制的小儿头皮静脉针彩色弹力固定网辅助固定，对照组使用传统长条医用胶布绕头一周辅助固定。比较2组患儿在输液过程中针头有无脱出血管外、液体外渗以及顺利完成输液率、拔针时患儿的反应程度及患儿家长的满意程度等。结果观察组在上述各项指标的比较中均明显优于对照组，差异具有统计学意义（P〈0．01）。结论小儿头皮静脉针彩色弹力固定网辅助固定法效果明显优于传统辅助固定法，具有良好的社会、经济效益和推广应用价值。

Research and clinical application of color elastic net for fixing scalp intravenous needles in children

Objective In order to know the influence about different preprocessing and cleaning methods for the residual blood in uterine cavity attractive tube, and then improve the cleaning quality, prevent infection in hospital. Methods Three different preprocessing and cleaning methods for the residual blood in uterine cavity attractive tube were used in Group A, B and C respectively. Group A, dipped the instruments in the enzyme liquid for 3 hours and 10 minutes, observed the cleaning qualification rate of the internal tube by eye after swashing with normal water. Group B, dipped the instruments in the enzyme liquid for 3 hours and in the Health Essence for 3 hours, observed the cleaning qualification rate of the internal tube by pressure jetting gun. Group C, observed the blood residual in the internal side of the tube after cleaning. Results The cleaning effects of enzyme liquid marinating at different time were different for 3 hours and 10 minutes in Group A. In Group B, it needs less time by dipping the instruments in the enzyme liquid for 3 hours than in the Health Essence for 3 hours. In Group C, there was significant difference on the blood residual and blood test between cleaning with supersonic cleaning and with washing by hand first, then swash with high pressure jetting gun. Conclusion The cleaning quality can be improved and the time can be shortened by prolonging the dipping time in the enzyme liquid because it can dissolve the organic articles inside the tube. And the blood residual can be deleted effectively by brushing the internal side of the tube and swashing with the high pressure jetting gun.