임상간호연구 (Journal of Korean Clinical Nursing Research)
- 제20권3호
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- Pages.326-336
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- 2014
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
DOI QR Code
비턴넬형 중심정맥관 개방성 유지를 위한 헤파린 희석액 관류와 생리식염수 관류의 비교
Comparison of Heparin Solution and 0.9% Normal Saline Solution Flushing to Secure the Patency of Non-Tunneled Central Venous Catheters
- 김지혜 (서울아산병원) ;
- 서은지 (서울아산병원) ;
- 박희정 (서울아산병원) ;
- 김시현 (서울아산병원) ;
- 민자 (서울아산병원 간호팀) ;
- 박정윤 (울산대학교 임상전문간호학) ;
- 김송철 (서울아산병원 외과)
- Kim, Ji Hye (Department of Nursing, Asan Medical Center) ;
- Seo, Eun Ji (Department of Nursing, Asan Medical Center) ;
- Park, Hee Jung (Department of Nursing, Asan Medical Center) ;
- Kim, Si Hyeon (Department of Nursing, Asan Medical Center) ;
- Min, Ja (Department of Nursing, Asan Medical Center) ;
- Park, Jeong Yun (Department of Clinical Nursing, University of Ulsan) ;
- Kim, Song Cheol (Department of Surgery, Asan Medical Center)
- 투고 : 2014.10.02
- 심사 : 2014.10.20
- 발행 : 2014.12.31
초록
Purpose: The purpose of this study was to compare the effectiveness of heparin and 0.9% normal saline solution flushing for maintaining patency of nontunneled central venous catheters in patients with surgery. Methods: A randomized controlled clinical trial was performed. Fiftyeight patients were prospectively enrolled and fifty-four patients were completed the study. The heparin group consisted of 30 patients given 100u/ml diluted heparin flushing and the normal saline group consisted of 24 patients with 0.9% sodium chloride flushing. Results: There was no significantly difference in occlusion between the heparin group and the normal saline group in nontunneled central venous catheters' occlusion. Also there was no difference between these two groups in catheterrelated infections. Conclusion: Flushing with 0.9% normal saline is as effective as flushing with heparin solution in maintaining the patency of nontunneled central venous catheters. In this study, however, the duration of central line use was short and the infection occurrence was little. Further studies are warranted with a larger sample size at multiple centers.
키워드