两种穿刺方法在老年患者静脉输液中的效果比较  

Comparison of effects of two intravenous infusion methods on elderly patients

作　　者：袁昌琼[1] 黄莉[1] 王文菊[1] 

机构地区：[1]解放军总医院南楼消化内科一病区,北京100853

出　　处：《中华现代护理杂志》2012年第11期1334-1335,共2页Chinese Journal of Modern Nursing

摘　　要：目的比较两种穿刺方法在老年患者静脉输液中的效果。方法选取568例老年静脉输液患者采用自身对照法，第1天采用传统穿刺方法，静脉穿刺见回血后，完全打开调节夹，第2天采用实验方法，静脉穿刺见回血后，打开1／3调节夹；比较两种方法的静脉穿刺成功率及穿刺时患者疼痛评分。结果静脉穿刺成功率实验方法为97．89％，传统方法为93．31％，差异有统计学意义（x2=13．098，P〈0．01）；穿刺成功时两种方法患者疼痛评分差异无统计学意义（P〉0．05），穿刺失败时实验方法患者疼痛评分（1．97±0．52）分低于传统方法患者的（2．35±0．66）分，差异有统计学意义（t=4．987，P〈0．01）。结论老年患者静脉穿刺见回血后，打开1／3调节夹能够提高静脉穿刺成功率并减轻穿刺失败后疼痛。Objective To explore effects of two intravenous infusion methods on elderly patients. Methods Self-control method was used on 568 cases of elderly patients. Traditional method was used on Day 1 ： The adjustable clamp was fully opened when a free flow of blood appeared during venipuncture. The experimental method was used on Day 2： The adjustable clamp was opened 1/3 when a free flow of blood appeared during venipuncture. Success rate of venipuncture and value of pain were compared between the two groups. Results The experimental method had a higher success rate of venipuncture than the tranditional method （97.89% vs 93.31% , 2,2 = 13. 098 ,P 〈0. 01 ）. There was no significant difference in the mean value of pain during a successful venipuncture （P 〉 0.05）. During an unsuccessful venipuncture, mean value of pain in the experimental group was lower than that in the traditional method group, and the difference was statistically significant [（1.97±0.52） vs （2.35±0.66）, t=4.987,P〈0.01].Conclusious Opening the adjustable clamp for 1/3 when a free flow of blood appeared during venipuncture on elderly patients could improve the success rate of venipuncture and decrease pain during an unsuccessful venipuncture.

关 键 词：静脉输液 老年患者 调节夹 疼痛 

分 类 号：R472[医药卫生—护理学]