“减痛”注射法在儿科静脉穿刺中的应用  

作　　者：冉启蓉[1] 郭锡素[1] 谭海云[1] 

机构地区：[1]深圳市龙岗中心医院,518116

出　　处：《当代医学》2010年第19期20-21,共2页Contemporary Medicine

摘　　要：目的评价"减痛"注射法在儿科静脉穿刺中的应用效果。方法将173名患儿按随机数字表法分为干预组(86人)和对照组(87人),对照组采用教科书传统方法,干预组行"减痛"注射法,对比两组患儿疼痛程度、穿刺成功率、皮下淤血发生率及依从性等。结果干预组患儿疼痛得分为4.20分,低于对照组得分(t=6.281,P=0.000);干预组患者1次穿刺成功率和2次穿刺成功率显著高于对照组(x2=16.731,P=0.000);干预组患儿皮下淤血发生率与对照组无统计学差异(x2=3.489,P=0.062);干预组患儿依从性低于对照组(x2=7.629,P=0.022);干预组患儿家长对穿刺满意度高于对照组(x2=8.716,P=0.013)。结论 "减痛"注射法可以减轻患儿疼痛程度、提高穿刺成功率,并有利于提高患儿依从性及家长对穿刺的满意度。Objective To evaluate the application of pain-relief venipuncture method in pediatric. Methods One hundred and seventy-three children patients were divided into two groups and the pain degree, puncture success rate, rate of hypodermic gore and compliance were compared after the pain-relief method for intervention group and traditional method for controlled group. Results The average pain scores of intervention group were 4.20 which was significant lower than controlled group （t=6.281, P=0.000） while the first and second puncture success rate significant higher（x^2=16.731, P=0.000）. The compliance of the intervention group was lower （x^2=7.629, P=0.022）and satisfaction of parents of puncture was better than controlled group （x^2=8.716, P=0.013）. Conclusion The pain-relief venipuncture was effective on relieving the pain and enhancing the puncture success rate, also on improving the compliance and parents＇ satisfaction of puncture.

关 键 词：静脉穿刺 疼痛 依从性 

分 类 号：R472[医药卫生—护理学]