简体中文

·腹部疾病·

安全型静脉留置针在无痛人流手术中的应用体会

作者:彭玉兰 黄家义 骆雪风

所属单位:东莞市樟木头人民医院妇二区 (广东 东莞 523623)

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摘要

目的 探讨安全型静脉留置针在无痛人流手术中的应用效果。方法 将1500例实施无痛人流术的患者按照数字表法随 机分为两组,对照组751例给予一次性静脉输液针穿刺静脉;观察组749例给予静脉留置针穿刺静脉,并比较两组穿 刺部位针头脱出、局部肿胀等并发症发生情况及再次穿刺效果。结果 观察组的病人全部手术顺利完成,发生液体 外渗率明显地低于对照组(P<0.05);针头脱出、局部肿胀并发症发生率也明显地低于对照组(P<0.05),再次穿刺 率而显著的低于对照组(P<0.05)。结论 静脉留置针能够完全的避免让病人遭受反复穿刺的烦恼与痛苦,大大的降 低了病人的血管损伤,这样就完全杜绝了针头脱出、二次穿刺、麻醉药物渗漏等情况发生,为手术的顺利实施提供 有效的保障,大大提升护理人员的工作效率和质量。

Objective To explore the safe venous indwelling needle in the application of painless abortion effect. Methods The painless abortion methods 1500 cases of patients according to digital table method were randomly divided into two groups, control group with 751 cases of disposable venous infusion needle puncture veins. Observation group 749 cases were given intravenous indwelling needle puncture veins, and compare the two groups of puncture needle out, local swelling and other complications occurred and puncture effect again. Results Observation group patients surgery is completed, fluid extravasation occurred rate is obviously lower than that of control group (P<0.05). Needle out, local swelling complications is obviously lower than that of control group (P<0.05), and once again the puncture rate and significantly lower than that of control group (P<0.05). Conclusion Intravenous indwelling needle can completely avoid bothers patients suffered from repeated puncture and pain, greatly reducing the patient's blood vessel damage, thus to completely eliminate the needles out and secondary piercing, anesthetic leakage happens, provide effective guarantee for the smooth implementation of the operation, greatly improve work efficiency and quality of nursing staff.

【关键词】无痛人流手术;静脉留置针;一次性静脉输液针

【中图分类号】R714.21

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.06.020

前言

在生活中,妇女经常会受到意外怀孕的困扰,婚 前性行为发生状况更加常见,而人工流产是解决意外 怀孕或者终止早孕最有效的方法之一。如今,随着麻 醉药在临床的大力推广应用,绝大部分的孕妇则选择 无痛人流手术[1-2]。人工流产是避孕失败最为理想而 有效的办法,因此成为了临床上解决意外怀孕的首选 方法。无痛人流在普通人流的基础上发展而来,是减 轻人流手术疼痛的有效方法,因很好地解决了手术时 的痛苦而受到患者欢迎[3-4]。静脉留置针也叫做套管 针具有操作简单,且有较高的柔韧性,能够随意进行 弯曲,对患者血管的损伤较小,减少患者反复穿刺的 痛苦,减少护理人员的穿刺次数,使治疗工作变得更 加方便等优点[5-6]。本研究在无痛人流术中,我们采取利用静脉留置针,取得了较为理想的效果,现将本 研究的结果总结并报道如下。