Study on the effect of different fixed positions of sealing clips on tube blocking by indwelling needles
封管夹不同固定位置对留置针堵管的影响研究

摘要

目的 过研究留置针封管夹不同夹闭位置，对留置针使用时间及堵管的影响，探讨留置针封管夹的最佳夹闭位置，从而延长留置针的留置时间，减轻患者痛苦，降低患者的医疗费用。方法 选取2020年05～2021年05月在我院肿瘤科、普外科、神经内科、心病科进行留置针输液的180例患者为研究对象，按留置针封管夹子夹闭位置不同采用随机平行对照法分为三组，每组60例，分别为C组（1cm）、B组（2cm）、A组（3cm），三组患者均使用常规的留置针封管技术，敷料粘帖均采用无张力法。结果 C组（1cm）留置针堵管发生率低于A组（3cm），C组留置时间（d）高于A组，差异具有统计学意义（P＜0.05）。且C组患者的满意度明显优于A、B组，差异具有统计学意义（P＜0.05）结论 封管夹不同固定位置对留置针堵管的发生有一定影响，因此，在院内统一封管夹的固定位置对降低留置针堵管打发生率有重要作用，值得推广。

Abstract

Objective To study the effects of different clamping positions of indwelling needle sealing clips on the use time of indwelling needles and blocking the tube, and to explore the optimal clamping position of indwelling needle sealing clips, so as to prolong the indwelling needle indwelling time and reduce the pain of patients. , reducing medical costs for patients.
Methods A total of 180 patients who underwent indwelling needle infusion in the department of oncology, general surgery, neurology, and cardiology department of our hospital from May 2020 to May 2021 were selected as the research objects. According to the different positions of the indwelling needle sealing tube clips, a randomized parallel control was used. The patients were divided into three groups, 60 cases in each group, group C (1 cm), group B (2 cm), and group A (3 cm). tension method.
Results The incidence of indwelling needle blockage in group C (1cm) was lower than that in group A (3cm), and the indwelling time (d) in group C was higher than that in group A, and the difference was statistically significant (P<0.05). And the satisfaction of patients in group C was significantly better than that in groups A and B, and the difference was statistically significant (P<0.05).
Conclusion   Different fixed positions of the tube-sealing clips have a certain influence on the occurrence of tube blocking by indwelling needles. Therefore, unified tube sealing in the hospital is recommended. The fixed position of the clip plays an important role in reducing the incidence of indwelling needle blockage and is worthy of promotion.