U型固定法在新生儿留置针留置中的应用效果

目的 探讨U型固定法在新生儿留置针留置中的应用效果.方法 将云南省第三人民医院儿科新生儿病房2016年5月至2017年2月采用留置针留置输液患儿318例, 随机将159例作为实验组, 采用U型固定法, 将159例作为对照组, 采用普通固定法 (直型固定法) , 比较2组的应用效果.结果 实验组与对照组在留置针意外脱落、留置针堵管、留置针留置过程中回血、留置时间4个方面进行对比, 差异有统计学意义 (P<0.05) .结论 新生儿留置针留置过程中, 采用U型固定法能大大降低留置针意外脱落、减少留置针留置过程中堵管、在很大程度上降低留置针留置过程中回血、延长留置时间.此方法简单, 固定更加牢固, 固定时延长管呈U型, 肝素帽高于导管尖端, 在临床工作中非常实用, 且能减少静脉血栓形成, 降低院内感染发生率等潜在风险, 适宜在临床中推广应用.

Application of U Fixation in Indwelling Needle of Newborn

Objective To explore the application effect of U fixation in neonatal needle indwelling. Methods318 cases of newborns with needle indwelling for intravenous infusion in the department of pediatrics in the third people's hospital in Yunnan Province in May 2016-February 2016, were randomly divided into experimental group and control group, with 159 cases in each group. The experimental group was given U fixation while the control group was given ordinary fixation (straight fixation) . Then we compared the application effect of two groups.Re s ults There were statistically significant differences in the accidental removal of indwelling needle, tube plugging by needle, returning blood of indwelling needle and needle indwelling time between experimental group and control group (P < 0.05) . Conclus ions In neonatal needle indwelling process, U fixation can greatly reduce the incidence of accidental removal of indwelling needle, tube plugging by needle, returning blood of indwelling needle and extend the needle indwelling time. This method is simple, more firmly fixed, and the extention tube is U-shaped, is very useful in clinical work, and can reduce venous thrombosis, the potential risk of nosocomial infection, so it is suitable for popularization and application in clinical.