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目的观察胸外科禁食患者行外周静脉高营养的临床效果,分析其输液相关并发症的发生率、留置针保留时间以及护理干预和健康指导的作用。方法观察2014年4月-6月40例短期内需行全肠外营养支持的患者。建立外周静脉通道,输注脂肪乳氨基酸(17)葡萄糖(11%)注射液(1 440 m L/d)行静脉高营养治疗和贯穿整个疗程的护理干预及健康指导,观察其输液相关并发症的发生率和留置时间。结果纳入患者中仅1例发生输液通路的阻塞,并予更换留置针;另有4例静脉炎(Ⅰ级)。其他患者全肠外营养输注疗程中均无红斑、疼痛、水肿或静脉条纹等静脉炎发生或其他输液相关并发症的发生,平均留置时间为(3.07±1.73)d。结论胸外科术前或术后禁饮禁食患者,短期内通过外周静脉给予高营养支持并辅以护理干预和健康指导,其输液相关并发症发生率低且静脉留置针的使用时间合理,在改善患者预后的同时减轻了患者的经济负担,并提高了患者满意度。
Objective To observe the clinical effect of peripheral high nutrition in patients with thoracic fasting, and analyze the incidence of infusion-related complications, the retention time of indwelling needle and the effects of nursing intervention and health guidance. Methods Forty patients with short-term total parenteral nutrition support during April-June 2014 were enrolled in this study. Peripheral venous access was established. Intravenous nutrient therapy (1740) and insulin infusion (11%) were injected intravenously (17%), and nursing interventions and health guidance throughout the course of treatment were observed. Infusion-related complications The incidence and retention time. Results Only one of the patients enrolled in the obstruction of the infusion pathway was replaced with an indwelling needle; another four had phlebitis (grade I). The other patients had no erythema, pain, edema or venous streak phlebitis or other infusion-related complications during the whole parenteral nutrition infusion. The mean indwelling time was (3.07 ± 1.73) days. Conclusions Patients with fasting or no surgery before thoracic surgery may be given high nutrition support by peripheral vein supplemented with nursing intervention and health guidance in a short period. The incidence of infusion-related complications is low and the time of intravenous catheterization is reasonable. Improve the prognosis of patients while reducing the financial burden on patients and improve patient satisfaction.