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外周静脉导管使用后静脉炎发生率的研究

Study on incidence of phlebitis following the use of pherpheral intravenous catheter.

作者信息

Mandal Abhijit, Raghu K

机构信息

Department of Family Medicine, 4 Air Force Hospital, Kalaikunda, West Midnapore (D), West Bengal, India.

Department of Anaesthesiology, 4 Air Force Hospital, Kalaikunda, West Midnapore (D), West Bengal, India.

出版信息

J Family Med Prim Care. 2019 Sep 30;8(9):2827-2831. doi: 10.4103/jfmpc.jfmpc_559_19. eCollection 2019 Sep.

Abstract

CONTEXT

Peripheral vein cannulation is commonly performed for rapid and accurate administration of medications. Phlebitis is one of the commonest complications that develop after intravenous catheter application.

AIMS

This study aims to investigate the incidence of phlebitis and to evaluate factors contributing to the development of phlebitis.

SETTINGS AND DESIGN

This was a prospective observational study conducted on patients admitted at 4 Air Force Hospital Kalaikunda.

METHODS

Study conducted on 150 patients who were admitted to the medical and surgical division of the hospital during the period from July 2018 to April 2019. The factors studied were age, gender, site of insertion, place of insertion, cannula size, IV medications, and blood products used. Phlebitis was graded using Visual Infusion Phlebitis Score.

STATISTICAL ANALYSIS USED

The incidence of phlebitis was expressed in percentage and odds ratio was calculated to estimate the effects of suspected risk factors.

RESULTS

Incidence of phlebitis was found to be 31.4% from our study. The increased incidence rate of phlebitis was seen in the female gender, age less than 60 years, insertion in the lower limb, large catheter size, catheters inserted in emergency situations, and IV drugs administration.

CONCLUSION

Phlebitis is an important on-going problem in present-day clinical practice. Avoiding of preventable risk factors, proper nursing care, and daily inspection of catheters needed for prevention of phlebitis.

摘要

背景

外周静脉置管常用于快速、准确地给药。静脉炎是静脉置管后最常见的并发症之一。

目的

本研究旨在调查静脉炎的发生率,并评估导致静脉炎发生的因素。

设置与设计

这是一项对卡拉昆达空军第4医院收治的患者进行的前瞻性观察研究。

方法

对2018年7月至2019年4月期间入住该医院内科和外科的150例患者进行研究。研究的因素包括年龄、性别、穿刺部位、穿刺地点、套管尺寸、静脉用药和使用的血液制品。使用视觉输液静脉炎评分对静脉炎进行分级。

所用统计分析方法

静脉炎的发生率以百分比表示,并计算比值比以估计可疑危险因素的影响。

结果

我们的研究发现静脉炎的发生率为31.4%。女性、年龄小于60岁、下肢穿刺、大尺寸导管、在紧急情况下穿刺的导管以及静脉给药的静脉炎发生率较高。

结论

静脉炎是当今临床实践中一个重要的持续存在的问题。避免可预防的危险因素、适当的护理以及对导管进行每日检查对于预防静脉炎是必要的。

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Peripheral Teflon catheters: factors determining incidence of phlebitis and duration of cannulation.
Infect Control Hosp Epidemiol. 2002 May;23(5):249-53. doi: 10.1086/502044.

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