手术室静脉留置针输液的疗效观察及护理

目的探讨手术室静脉留置针输液的疗效观察及护理。方法选择梅县人民医院手术室2009年1月-2010年12月行麻醉手术患者213例,随机分为观察组和对照组,观察组107例,给予静脉留置针输液,对照组106例,常规静脉输液技术,比较两组患者不同静脉方式的输液疗效,并对安全隐患进行分析,提出有效地护理方法。结果观察组患者选择使用静脉留置针107例,一次性操作成功103例,操作失误4例,操作成功率为96.26%,并发症发生2例,发生率为1.87%,无输液反应发生;对照组患者选择使用常规静脉输液106例,一次性操作成功99例,操作失误7例,操作成功率为93.40%,并发症发生9例,发生率为8.49%,输液反应发生1例,经及时处理很快好转;两组临床护理效果患者满意率比较,差异有统计学意义（P〈0.05）。结论静脉留置针套管柔软、不易损伤血管,可以减少外渗等并发症的发生,有利于手术中麻醉和更换体位,有效地保护了血管,同时减少患者术后输液穿刺次数,临床效果满意。

Effective Observation and Nursing Care on Venous Indwelling Needle in Operation Room

Objective To observe the effect and nursing care on venous indwelling needle in the operation room.Methods Choose our department since January 2009 to December 2010 anesthesia in 213 cases of surgical patients were randomly divided into control group and observation group.107 patients were given intravenous catheter infusion,106 patients,in the control group receired routine intravenous infusion technique,Two groups were compared efficacy of different intravenous infusion methods,and security analysis.Results The patients choose to use the intravenous catheter in 107 cases,103 cases of one-time operation is successful,the operation failure in 4 cases,the operation a success rate of 96.26%,complications occurred in 2 cases,the rate was 1.87%,no infusion reaction;In control group one-time operation is successful in 99 cases,7 cases of faulty operation,the operation a success rate of 93.40%,complications occurred in 9 cases,incidence rate of 8.49%,infusion reactions occurred in 1 case,Comparison of two groups clinical nursing(P<0.05),was significant difference.Conclusion Intravenous catheter tube soft,easy to damage blood vessels,can reduce the incidence of complications such as extravasation,in favor of surgical anesthesia and changing body position,the effective protection of the blood vessels,while reducing the number of postoperative infusion needle,the clinical results were satisfactory.