摘要
目的静脉输液工具安全、效率比较分析。方法通过对国内外关于静脉留置针和头皮钢针用于静脉输液的文献进行Meta分析获取效果数据,对湖南省某三甲医院开展问卷调查获取成本数据,采用成本-效益分析对两种不同输液方式的经济性进行评价。结果与头皮钢针相比,静脉留置针导管脱出、液体外渗、导管堵塞发生率分别降低了13%、24%、7%,差异有统计学意义(P<0.01);在静脉输液周期为4 d、静脉输液为10 000人次时,使用静脉留置针带来的并发症更低,留置针组总体医疗费用增加24%。结论与头皮钢针相比,静脉留置针可显著提高患者输液安全,提升医疗质量,同时医疗总费用的增加是有限的。
Objectives To evaluate the safety and efficiency of peripheral intravenous catheter in intravenous infusion.Methods We identified public English and Chinese literatures related to peripheral intravenous catheter to obtain clinical effectiveness outcomes for a further meta-analysis.A questionnaire was designed and delivered to nurses of a class Ⅲ hospital in Hunan to collect cost data.The cost-benefit analysis was conducted to evaluate the economic difference of the two infusion methods.Results Compared with wing needle set,using peripheral intravenous catheter can reduce catheter extrusion,liquid extravasation and occlusion by 13%,24%,7%,respectively, and the difference was statistically significant between the two groups of patients（P0.01）. The cost of peripheral intravenous catheter only increased total medical expense by 24% compared with WNS when the cycle of intravenous infusion was 4 days and the number of patients with intravenous infusion was 10,000.Conclusions Compared with wing needle set,using peripheral intravenous catheter can improve safety of patients with intravenous infusion.The increase of the total cost of peripheral intravenous catheter was limited.
出处
《中国药物经济学》
2018年第2期5-11,共7页
China Journal of Pharmaceutical Economics
关键词
静脉输液
留置针
并发症
安全
效率
Intravenous Infusion
Peripheral Intravenous Catheter
Complicating
Safety
Efficiency
