| 杨梅,王萍.重症胰腺炎患者两种不同部位静脉留置输液效果比较[J].上海护理,2016,16(7): |
| 重症胰腺炎患者两种不同部位静脉留置输液效果比较 |
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| 投稿时间：2015-04-23 修订日期：2015-07-15 |
| DOI： |
| 中文关键词: 关键词：重症胰腺炎 颈外静脉 输液留置 护理 |
| 英文关键词:Keywords: Severe acute pancreatitis The external jugular vein The infusion catheter Nursing |
| 基金项目: |
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| 中文摘要: |
| 摘要:
目的：通过对确诊重症胰腺炎患者采用前臂静脉和颈外静脉两种不同的静脉留置部位进行输液，来比较输液治疗效果的研究，以期论证重症胰腺炎浅静脉输液治疗适宜的留置部位。
方法：通过68例患者予以分为二组，各34例，一组予以前臂静脉留置输液治疗，另一组予以颈外静脉输液治疗的研究比较。运用统计学方法评估比较两组患者输液流量、静脉留置时间长短、静脉炎发生概率、患者满意度。
结果：使用颈外静脉留置输液,每分钟最大输入流量（ml/min）第一天12.74±0.89第二天12.13±0.68第三天11.54±0.48；平均留置时间6.29±0.47天；静脉炎发生10例，占29.42%；患者满意度得分4.21±0.25。使用前臂静脉留置输液,每分钟最大输入流量（ml/min）第一天8.65±0.72第二天6.96±0.58第三天4.83±0.32；平均留置时间2.78±0.24天；静脉炎发生25例，占73.53%；患者满意度得分2.94±0.17。差异有统计学意义(P ＜0 .05)。
结论：颈外静脉留置输液在重症胰腺炎病人的静脉治疗过程中起积极作用,为较适宜的静脉留置部位。 |
| 英文摘要: |
| Abstract:
OBJECTIVE: A randomized, controlled, multicenter trial was undertaken in patients with objective evidence of severe acute pancreatitis to evaluate a better choice of catheterization utilizing the forearm vein and external jugular vein.
METHODS: Sixty-eight patients with acute severe pancreatitis were randomized into two groups.The first (n = 34) received catheterization through the external jugular vein, while the second group (n = 34) received catheterization utilizing the forearm vein.The data including transfusion quantities、catheterization time、incidence of phlebitis and satisfaction of patients.
RESULTS:Compared with forearm vein ,external jugular vein catherization owns more transfusion quantities(day1:12.74±0.89vs8.65±0.72;day2:12.13±0.68vs6.96±0.58;day3:11.54±0.48vs4.83±0.32)longer catheterization time(6.29±0.47vs4.21±0.25)、lower incidence of phlebitis (29.42%vs73.53%)and better body comfort(4.21±0.25vs2.94±0.17)
CONCLUSION:External jugular vein catherization is a better choice in patients with severe acute pancreatitis. |
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