安全型留置針與普通留置針在急救中的應用情況比較分析

[摘要] 目的 探討安全型靜脈留置針對急診急救治療的輔助作用，并與普通留置針臨床效果進行對比，總結安全型靜脈留置針對護理人員的工作安全提高效果。 方法 整群選取該院2015年5月—2016年5月收治的3 587例急診患者，將其按照急救留置針方法分為觀察組和對照組，觀察組1 794例患者，對照組1 793例患者，觀察組采用安全型靜脈留置針進行，對照組采用常普通留置針，比較兩組留置針使用一次穿刺成功率，并對比兩組護理人員刺傷發生率。 結果 觀察組一次成功率99.94%，對照組一次成功率為81.20%，觀察組護士刺傷率0.17%，對照組護士刺傷率2.12%，差異有統計學意義（P<0.05）。 結論 急診治療當中需要對患者建立靜脈通道，以便及時補充體液，并在需要緊急手術治療時提高手術準備速度，挽救患者的生命，安全型靜脈留置針進行靜脈穿刺效果更高，護理人員以及周圍人群受傷率明顯降低，與普通留置針相比安全性更高，能夠保護護理人員不受感染，減少針刺傷及職業暴露。值得臨床推廣應用。

[關鍵詞] 急救護理；安全型靜脈留置針；普通留置針；不良反應發生率

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0118-03

[Abstract] Objective To investigate the effect of emergency treatment for indwelling auxiliary safe vein indwelling needle and the clinical effect were compared， summed up the safety venous indwelling for work safety and improve the effect of nursing staff. Methods Group selection 3 587 cases of emergency patients in our hospital from May 2015 to May 2016， according to the emergency indwelling needle were divided into the observation group and control group， 1 794 patients in the observation group， 1 793 patients in the control group， the observation group with safety venous indwelling needle， control group with regular catheter， indwelling between the two groups the use of needle puncturing success rate， and compare the two groups of nursing staff injury incidence. Results The success rate of the observation group was 99.94%， the control group was a success rate of 81.20%， the observation group of nurses stabbed rate of 0.17%， the control group of nurses stabbed rate of 2.12%， the difference was statistically significant （P < 0.05）. Conclusion Emergency treatment need to establish intravenous access for patients， in order to replenish the fluids， and in need of urgent surgery to improve surgical preparation speed， save the lives of patients， safety venous indwelling needle puncture effect was higher， the nursing staff and the people around the injury rate decreased obviously， higher safety compared with ordinary lien the needle can protect nursing staff from infection， reduce needle injury and occupation exposure. Worthy of clinical application.

[Key words] Emergency nursing； Safe venous indwelling needle； Common indwelling needle； Adverse reaction rate

靜脈留置針是減少患者治療過程中的靜脈穿刺頻率，提高靜脈通道使用效果的首選方法，尤其在院前急診急救治療當中，患者經常由于出血、脫水、水電解質平衡失調等原因出現昏迷、器官衰竭等癥狀，但無法對病因進行確認或無法處置時，首先應幫助患者穩定生命體征，為接下來的入院治療做準備[1-3]。……