长时间与常规的外周静脉导管相比,以减少住院期间的静脉穿刺:一项随机对照试验
Filippo Binda1, Alessandro Galazzi1,2, Federica Marelli1
1Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
The journal of vascular access
|November 4, 2025
概括
与短外围导管 (SPC) 相比,长外围导管 (LPC) 并没有显著减少重复的静脉穿刺. 然而,LPCs在急诊室显示出更好的导管性能.
科学领域:
- 紧急医疗 紧急医疗
- 血管接入装置 血管接入装置
- 临床试验 临床试验
背景情况:
- 优化血管通道至关重要,以尽量减少并发症和患者的不适.
- 重复的静脉穿刺在患者护理中构成了重大挑战.
研究的目的:
- 为了比较长外围导管 (LPC) 与短外围导管 (SPC) 在减少重复静脉穿刺的必要性方面的疗效.
- 评估导管性能指标,包括时间到持续的抽出阻塞和导管失效.
主要方法:
- 一个单中心,随机对照试验,涉及294名患者.
- 患者被随机分配,接受SPC或LPC,由训练有素的护士在没有超声指导的情况下插入.
- 主要终点:需要额外静脉穿刺的患者比例;次要终点:持续抽出封闭和导管失效的时间.
主要成果:
- 在SPC (57.8%) 和LPC (55.8%) 组 (p=0.73) 之间,需要静脉穿刺的患者比例没有显著差异.
- 与SPC (3.07天) 相比,LPC (4.72天) 的导管存活时间更长.
- 在LPCs (1.9天) 和SPCs (1.1天) (p=0.006) 中,持续性戒断封闭的时间明显较长 (p=0.006).
结论:
- 长的外围导管并没有显著降低重复静脉穿刺的要求.
- 在急诊室设置中,LPC在导管停留时间和减少闭塞方面表现出卓越的表现.
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