ObjectiveTo investigate the application value of the intravenous indwelling needle in radionuclide imaging examination. MethodsA total of 120 patients underwent single photon emission computed tomography for bone and kidney dynamic imaging between October 2012 and April 2013 were randomly divided into group injected by venous indwelling needle (observagtion group) and group injected by traditional steel needle (control group), with 60 cases in each. We calculated the one-time success rate of venipuncture, the leakage rate of intravenous injection, residual radioactive dosage within the syringe and average exposure time of medical staff to radionuclide in the two groups of patients. ResultsThe one-time success rate of venipuncture in observation group was similar to that in the control group (P > 0.05). During the injection, no leakage was found in observation group, while 4 leakage in 37 patients underwent bone imaging and 3 leakage in 23 patients underwent kidney dynamic imaging in the control group were found; there was no significant difference between the two groups (P > 0.05). The residual radioactive dosage within the syringe in observation group was lower than that in the control group, and the exposure time of medical staff to radionuclide in observation group was also lower than that in the control group (P < 0.01). ConclusionsIntravenous indwelling needle for venous puncture can avoid leakage of radioactive imaging agent, reduce the residual radiological dosage within the syrings, increase the one-time puncture success rate and imaging resolution of dynamic scan, and improve the diagnostic accuracy and work efficiency effectively. Besides, the intravenous indwelling needle technique can reduce average exposure time of medical staff to radionuclide, acheaving the goal of optimized protection.
目的 探讨神经科住院患者留置针安全的持续质量管理。 方法 选择2011年8月－10月100例神经科住院患者，按入院时间先后排序分为对照组和试验组，每组50例。对照组运用静脉留置针的常规护理方法进行护理，试验组在给予常规护理方法的同时实施一系列持续质量管理的措施，包括安排护理业务查房、组织操作示范、应用留置安全健康宣传小卡片对患者进行宣教、定期不定期的留置质量检查、将留置针安全作为一项交班内容、强调优质护理指针。留置针留置第3天对两组患者使用同一自制量表调查留置期间的安全问题及患者对护理的评价，并对两组调查结果进行统计分析。 结果 试验组留置期间不良事件发生率为6.0%，对照组为34.0%，两组差异有统计学意义（χ2=12.250，P=0.000）；试验组对留置针留置安全知识的4个方面知晓情况均优于对照组（P=0.000）；试验组对护理满意度较对照组好（P=0.000）。 结论 持续质量管理增加了神经科住院患者留置针留置安全、增进了患者对相关健康知识的掌握，提高了患者对护理的满意，值得临床推广。
目的:观察艾灸联合芦荟、红花、当归酒精提取液治疗输液并发静脉炎的临床疗效。方法:将60例静脉炎患者随机分为两组,观察组采用艾灸联合芦荟、红花、当归酒精提取液治疗,对照组采用50%硫酸镁治疗,并进行疗效对比。结果: 观察组痊愈22例、显效6例、有效2例、无效0例,有效率100%;对照组痊愈13例、显效8例、有效3例、无效6例,有效率80%;两组相比差异有统计学意义(Plt;0005)。结论:艾灸联合芦荟、红花、当归酒精提取液具有活血化瘀、散结止痛、抗炎解毒、促进损伤组织细胞修复作用。