肢体水肿患者留置针穿刺中两次扎止血带联合指压法的临床观察  

Clinical research on puncture of indwelling needle by twice tying tourniquet combined with acupressure method in patients with limb edema

作　　者：周积逢[1] 范小杏[1] 梁建丽[1] 黄燕芳[1] 劳丽[1] 

机构地区：[1]灵山县人民医院肾内科,广西535400

出　　处：《中国临床新医学》2013年第1期68-70,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫生厅科研课题(编号:Z2010064)

摘　　要：目的观察两次扎止血带联合指压法对肢体严重水肿患者静脉显露充盈度及静脉留置针一次穿刺成功率的影响。方法对222例肢体严重水肿需要接受静脉用药的患者,采用自身对照法,按单双日分组采用两种方法进行静脉留置针穿刺。对照组(双日)采用常规方法;实验组(单日)采用两次扎止血带联合指压法。结果实验组静脉显露充盈程度及静脉留置针一次穿刺成功率明显高于对照组(P<0.05)。结论两次扎止血带联合指压法可改善严重水肿患者肢体静脉显露充盈度,从而提高静脉留置针一次穿刺的成功率。Objective To investigate the effect of twice tying tourniquet combined with acupressure method on vein revealed filling degree and one-time puncture success rate of venous indwelling needle in patients with limb e-dema. Methods Two hundred and twenty-two patients with limb edema who need to receive intravenous medication, were studied by serf contrast method, using two methods of venous indwelling needle according to the single or double day. The control group （ double day） received conventional method; the experimental group （ single day） received twice tying tourniquet combined with acupressure method. Results In the experimental group the vein revealed filling degree and one-time puncture success rate of venous indwelling needle were significantly higher than that of control group （P 〈 0.05）. Conclusion Twice tying tourniquet combined with acupressure method can be improve the vein revealed filling degree and one-time puncture success rate of venous indwelling needle in patients with severe limb e-dema.

关 键 词：水肿 两次扎止血带联合指压法 静脉留置针 静脉显露充盈度 静脉穿刺 

分 类 号：R47[医药卫生—护理学]