双止血带负压法在腹泻合并重度脱水患儿输液中的应用  

Application for double blood stooping bandage negative pressure method in diarrhea complication far advanced dehydration of infant suffered from disease in transfusion

作　　者：梁娟[1] 叶英[1] 李春霞[1] 

机构地区：[1]广东医学院附属医院急诊科输液室,湛江524001

出　　处：《国际护理学杂志》2010年第7期991-993,共3页international journal of nursing

摘　　要：目的探讨双止血带负压法建立有效静脉通道在腹泻合并重度脱水患几输液中应用的临床价值。方法将133例腹泻合并重度脱水患儿作为研究对象，随机分为观察组68例和对照组65例。观察组采用双止血带负压输液法进行静脉穿刺，而对照组采用传统输液法进行静脉穿刺，两组患儿均选择手背静脉作为穿刺部位，观察两组患儿静脉充盈程度。以第一次穿刺即可见回血为穿刺成功的观察指标，分别统计两组患儿静脉充盈度及穿刺成功的例数，并进行比较。结果观察组静脉充盈表浅为38．24％，充盈明显和充盈饱满为61．76％，穿刺成功率为89．71％；而对照组静脉充盈表浅为66．15％，充盈明显和充盈饱满为33．85％，穿刺成功率为66．15％。两组比较，χ^2值分别为10．38、10．81，均有非常显著性差异（P值均〈0．01）。结论双止血带负压法可明显地提高腹泻合并重度脱水患儿静脉充盈程度及穿刺的成功率，为腹泻合并重度脱水患儿建立有效静脉通道开拓了一种新途径，对腹泻合并重度脱水患儿输液治疗，挽救患儿的生命具有非常重要的现实意义。Objective To explore the clinical application of the value of the double blood stopping negative pressure method to set up effective vein passage applied in diarrhea complication far advanced dehydration of infant transfusion of infant suffered from disease in transfusion. Methods A total of 133 cases of diarrhea complication far advanced dehydration of infants were divided into 68 as observation group and 65 cases as control group at random. The observation group was given double blood stopping bandage negative pressure transfusion method for vein puncture, and the control group was given traditional transfusion for the vein puncture. Two groups were selected hand baok vein as the part of puncture so two groups were observed for the full degree of the infant suffered from disease based on the first time puncture namely showing blood returning as puncture successful in the observation index so as to calculate the case numbers of the full degree of the infant suffered from disease based for their further comparison. Results The full surface shallow of the observation group was 38.24%, full and full saturation full was 61.76% evidently. Successful puncture rate was 89.71% but the full surface shallow of the observation group was 66. 15%, full and full saturation full area 33. 85% evidently. Successful puncture rate was 66. 15%. The values of χ^2 were 10. 38 and 10. 81 for two groups with remarkable difference （P 〈 0.01 ） . Conclusions The double blood stopping bandage negative pressure method can evidently improve the diarrhea complication far advanced dehydration of infant transfusion of infants suffered from disease in transfusion in full and full saturation full so as to develop one new way and set up an effective vein passage. It is very important for rescue infant suffered from disease to the diarrhea complication far advanced dehydration of infant transfusion in transfusion in realistic meaning.

关 键 词：双止血带 负压 静脉充盈 穿刺 患儿腹泻 脱水 

分 类 号：R473.72[医药卫生—护理学]