深静脉导管堵塞原因分析与护理干预分析

梁小红+罗爱娟+唐映莲

[摘要] 目的 探讨深静脉导管堵塞原因和实施针对性护理干预效果。 方法 选取2014年12月～2016年12月期间住院患者实施深静脉导管留置68例作为研究对象，采用随机数字表法将所有患者分为观察组和为对照组，每组患者各34例，对照组予以常规护理，观察组予以针对性的护理干预，观察两组患者导管堵塞及患者对护理满意度情况。 结果 观察组堵管率11.76%较对照组堵管率35.29%，显著降低，差异有统计学意义（χ2=5.2308，P=0.0222）；观察组患者非常满意度为48.84%及总满意度为94.12%显著高于对照组的27.91%、76.47%，差异具有统计学意义（P<0.05）。 结论 护理干预可减少深静脉导管堵塞率，临床应用前景广阔。

[关键词] 深静脉导管；堵塞原因；护理干预

[中图分类号] R473 [文献标识码] A [文章编号] 2095-0616（2017）13-88-03

[Abstract] Objective To explore the causes of deep venous catheter obstruction and the effect of implementation of targeted nursing intervention. Methods 68 cases of deep venous catheter indwelling hospitalized in our hospital from December 2016 to December 2916 were selected as the study objects.According to the random digital table method，they were divided into observation group and control group with 34 cases in each.Patients in control group were treated with routine nursing，and patients in observation group were treated with targeted nursing intervention.Catheter blockage and patient satisfaction with nursing of the two groups were observed. Results The tube plugging rate of the observation group was 35.29%，which was significantly lower than that of the control group with 11.76%，the difference was statistically significent （χ2=5.2308，P=0.0222）.The very satisfaction in the observation group was 48.84%，and the total satisfaction was 94.12%，which were significantly higher than those in the control group with 27.91% and 76.74%，the difference was statistically significant（P<0.05）. Conclusion Nursing intervention can reduce the blocking rate of deep venous catheter， and it has a broad prospect in clinical application.

[Key words] Deep venous catheter obstruction；Blocking reason；Nursing intervention

深靜脉置管是经皮肤穿刺一种特制穿刺官并留置在股静脉、颈内静脉、锁骨下静脉腔内，经此滴注高渗性及完全肠外营养液体，还是测量中心静脉压方法[1-3]，随着医学技术的高速发展，深静脉置管在危重症抢救、癌症晚期生命支持、滴注高渗性液体及肠外营养支持等临床治疗中广泛应用[4-5]，可减少多次穿刺及刺激性药物外渗造成周围静脉和局部组织刺激，为危重症患者赢取宝贵时间，还易于长期留置，不易被污染和影响患者活动[6-7]，但深静脉导管堵塞是深静脉导管留置护理中常见不良反应，增加了患者的痛苦，本次笔者对深静脉导管堵塞原因分析并实施护理干预以保证深静脉导管通畅。

1 资料与方法

1.1 一般资料

选取2014年12月～2016年12月期间住院患者实施深静脉导管留置68例作为研究对象，纳入标准：所有患者均实施深静脉导管留置；……