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静脉自控镇痛对外周静脉留置导管的影响
Effect of Controlled Intravenous Analgesia on Peripheral Intravenous Catheters
【摘要】 目的研究静脉自控镇痛对留置针的影响,以求早期预防、避免并发症,减少患者的痛苦。方法两组各70例患者,一组保留输液通道实施PCIA;一组手术结束后不实施PCIA。从连接PCIA前开始每24h观察静脉的炎症等级并记录,记录导管拔除的时间及拔除的原因。结果炎症发生率试验组与对照组并无显著差异(P<0.05),导管保留时间上两组并无明显差异(P<0.05)。但72h内留置针非正常更换的情况各有其不同。结论静脉留置针能满足PCIA和手术病人的多次大量、重复输液的需要。同时须要加强对症处理干预。
【Abstract】 Objective To research the effect of controlled intravenous analgesia on peripheral intravenous catheters in order to prevent and avoid complication, alleviate pain of patient. Methods Both of groups included 70 patients. Every patient of one group were maintained intravenous catheters to use PCIA and everybody of the other group were not performed PCIA after operation,every 24h observation.Results The incidence of inflammation was not significantly different between experiment group and comparison group(P<0.05); The remaining time of catheter was not significantly different between two groups too. However, every situation which indwelling catheter 72h had been replaced abnormally was different. Conclusion Peripheral intravenous catheters can suffice for the requirement of many times and repetition transfusion. Meantime,treatment for every situation must be strengthened.
【Key words】 Patient controlled intravenous analgesia; Indwelling catheter; Pain; Vein;
- 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2006年15期
- 【分类号】R614
- 【下载频次】13