血管通路装置的选择与置入在输液治疗中至关重要，直接影响患者的治疗效果和安全性。随着医疗技术和护理实践的发展，血管通路装置的种类和应用逐渐丰富。然而，如何根据患者的具体情况选择合适的装置，及血管通路装置置入实践仍然是临床护理中的一大挑战。2024年美国输液护理学会（Infusion Nurses Society,INS）发布的第9版《输液治疗实践标准》为临床护理人员提供了重要的指导，其旨在优化血管通路的选择与置入过程，减少并发症的发生，提高患者的舒适度。本文对血管通路装置的选择和置入（vascular access device selection and insertion）部分进行解读，分析其中血管通路装置选择与置入的具体指导原则，探讨第8版及第9版两个版本《标准》的修订之处，以期为临床静脉输液治疗工作提供最新的证据指导，优化输液治疗方案，提高治疗的有效性和安全性。

The selection and insertion of vascular access device are crucial in infusion therapy and directly affect the outcomes and safety of treatment.With the development of medical technology and nursing practices,different types and applications of devices come into use.However,it remains a major challenge in clinical nursing to practice device insertion and choose the appropriate device based on the patient’s specific situation.Promulgated by Infusion Nurses Society (INS) in 2024, the 9th edition of the “infusion therapy standards of practice” provides important guidance for clinical nursing staff with the optimization of the selection and insertion process of such devices,reduction of the occurrence of complications,and improvement of treatment experiences.This article not only interprets the section on the selection and insertion of the devices,analyzes the specific guiding principles for the course,but also discusses the revision between the 8th and 9th editions of the standards,in order to provide the latest evidence-based guidance for clinical intravenous infusion therapy,optimize infusion treatment plans,and enhance the effectiveness and safety of treatment.

R472

上海市护理学会科研课题（2022MS-B13）