静脉留置针不同置管方法在手背浅静脉穿刺中的应用研究  

The Application Research of Venous Indwelling Needle Different Intubation in Dorsal Superficial Vein Puncture

作　　者：吴妙桓[1] 郭剑虹[1] 郑瑞琪[1] 陈雪华[1] 林苗环[1] 

机构地区：[1]广东省潮州市中心医院急诊科,521000

出　　处：《中华全科医学》2013年第5期801-803,共3页Chinese Journal of General Practice

基　　金：广东省潮州市卫生局科研项目(潮卫科研201110)

摘　　要：目的探讨静脉留置针三种不同置管方法在手背浅静脉穿刺中的应用,以提高穿刺成功率,减轻患者疼痛。方法随机选择急诊科住院患者300例进行静脉留置针穿刺,分别采用三种置管方法,每组各100例,第一种方法A组为常规穿刺置管,第二种方法B组为临床常用的改良后穿刺置管方法,第三种方法C组为本研究改进的穿刺置管方法。比较三种置管方法的首次穿刺成功率及患者的疼痛程度。结果 C组与A组一次穿刺成功率的比较,P<0.05,差异有统计学意义;C组与B组首次成功率的比较,P<0.05,差异有统计学意义;A组与B组首次成功率的比较,P>0.05,差异无统计学意义。第三种方法C组首次穿刺成功率最高;三组不同置管方法患者穿刺时疼痛程度的比较,差异有统计学意义,C组无痛和微痛的例数最多。结论采用第三种方法改进的穿刺置管法可以提高静脉首次穿刺成功率,减轻患者的疼痛。Objective To explore applications of intravenous catheter needle 3 different built-in back lighi control methods in the venipuncture to improve success rates and reduce patient needle pain. Methods A random selection of emergency department patients 300 cases of venous indwelling needle puncture, using three separate catheter method, 100 subjects in each group, the first method of group A for conventional puncture, second kind of methods for group B used for clinical improvement after the puncture method, third kind of methods for the study of improved C group puncture method. Comparisgn of three catheter methods first puncture success rate and patient pain was conducted. Results C group and A group of one time puncture success rate comparison,P 〈 0.05 ,the difference was statistically significant;the＇C group and B group the first successful rate comparison, P 〈 0.05, the difference was statistically significant; the A group and B group the first successful rate comparison, P 〉 0.05, the difference was not statistically significant. Third method for C group of first puncture success rate was the highest;three groups of different catheter in patients with puncture method comparison of pain levels, with significant differences, C group and slight pain in the patients with painless number. Conclusion Use the third method to improve the catheterization method can improve the success rate vein puncture for the first time, and alleviate the patient ＇ s pain.

关 键 词：静脉留置针 置管方法 手背 浅静脉 成功率 

分 类 号：R473.5[医药卫生—护理学] R472.9[医药卫生—临床医学]