摘要
目的：研究手背静脉血管不同穿刺技术和拔针压迫技术的优缺点。方法：血管正面穿刺试验组200例（又分A、B两亚组）和侧面穿刺对照组200例（又分为C、D两亚组）分别实施静脉穿刺和拔针不同方法压迫，观察相应指标。结果：（1）试验组一次穿刺成功率90％而对照组75％（P<0.01），且输液过程中局部肿胀疼痛率4％、对照组15％，（P<0.05）；（2）试验组中A亚组局部不适率明显低于B亚组（P<0.01）。结论：（1）手背静脉穿刺技术中血管正面穿刺法一次穿刺成功率明显高于侧面穿刺法且局部不适发生率明显更低；（2）拔针技术中棉签顺血管长轴压迫法的局部肿胀发生率明显低于横放垂直血管压迫法。
Abstract
Objective:To study the advantages and disadvantage of different techniques of opisthenar venepuncture and it’s pressing methods.Methods: 200 patients (observing group) received the opisthenar venepuncture puncturing on the front of the vein (and subdivided into group A and B), and another 200 patients (control group) received the same puncturing on the side face of the vein (and subdivided into group C and D), and then, some items been observed.Results:① one time successful rate were 90% and 75%(p<0.01) from observing group versus control group, and the adverse reacting rate were 4% and 15%(p<0.05), respectively;② The local adverse reacting rate was lower obviously in sub-group A then B(P<0.01).Conclusion:① The puncture on front of the vein was beter than those of the side face method;② The adverse reacting rate was higher from the vertical pressing to vascular major axis than method of pressing comply with vascular major axis.
NETL
NSTL
万方数据