无压脉带负压式静脉穿刺在葡萄球菌性烫伤样皮肤综合征患儿中的应用  

Application of negative pressure puncture without the cuff in staphylococal scalded skin syndrome

作　　者：蒋丽君[1] 甘永梅[1] 赵玉芳[1] 

机构地区：[1]桂林医学院附属医院皮肤性病科,541001

出　　处：《中国实用护理杂志》2011年第23期47-49,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨无压脉带负压式静脉穿刺在葡萄球菌性烫伤样皮肤综合征患儿中的应用效果。方法选择2009年1月至2010年12月在我科住院的68例葡萄球菌性烫伤样皮肤综合征患儿作为研究对象，随机分为实验组和对照组各34例，均选择双上肢远端浅静脉进行穿刺，对照组按常规方法进行静脉穿刺和留置针固定；实验组采用无压脉带负压式静脉穿刺，改良促进静脉充盈方法和留置针的固定方法。比较2组的一次成功率、静脉回血率、患儿家长满意度及不良反应的发生情况。结果实验组采用无压脉带负压式静脉穿刺，家长满意度、平均留置针时间明显高于对照组；不良反应低于对照组；一次穿刺成功率、静脉回血率与对照组比较无显著差异。结论采用无压脉带负压式静脉穿刺法，操作简单，易掌握，患儿易配合，穿刺成功率高，并能更好地保护葡萄球菌性烫伤样皮肤综合征患儿皮肤和血管，不良反应少，家长满意度高。Objective To discuss the effect of negative pressure puncture without the cuff in staphylococal scalded skin syndrome （SSSS）. Methods 68 children with SSSS in our department were chosen as research subjects from January 2009 to December 2010, and then were divided into the experi- mental group and the control group randomly. All children used the distal upper limbs for superficial vein puncture. The control group used vein puncture and catheter f＇Lxation by conventional methods, the experi- mental group used negative pressure puncture without the cuff in order to improve the methods for filling and indwelling intravenous needle fixation. Results In the experimental group, the parent satisfaction degree and the average catheter indwelling time were significantly better than the control group, the adverse reactions were lower than the control group. Success rate of one-time puncture and rate of venous blood re- turn showed no significant difference compared with the control group. Conclusions The method of neg- ative pressure puncture without the cuff is simple, easy to grasp and has a high puncture success rate, is better protection of skin and blood vessels for children with staphylococal scalded skin syndrome.

关 键 词：无压脉带 负压穿刺 改良留置针固定方法 葡萄球菌性烫伤样皮肤综合征 

分 类 号：R472[医药卫生—护理学]