肢体抬高法在老年患者外周静脉输液中的应用研究  

Limb elevation during intravenous infusion therapy in elderly patients

作　　者：陕海丽[1] 王妮娜[1] 支楠[1] 李季[1] 赵娜[1] 武楠[1] 

机构地区：[1]武警总医院干部病房二科,北京100039

出　　处：《护理学杂志》2014年第8期4-6,共3页

摘　　要：目的探讨肢体抬高法在老年患者外周静脉输液中的应用及效果。方法选取180例行外周静脉穿刺的老年患者随机分为对照组和观察组各90例。在患者拔针后对照组采用常规肢体按压法止血,观察组采用肢体抬高法。结果对照组有效止血时间为(164.99±50.01)s,发生轻、中度皮下淤血18例;观察组分别为(53.50±22.84)s、2例,两组比较,差异有统计学意义(均P<0.01)。结论肢体抬高法应用于老年患者输液拔针止血可缩短止血时间,减少皮下淤血发生率,提高老年患者的静脉输液质量。Objective To explore the feasibility of limb elevation during intravenous infusion therapy in elderly patients and the effect of this method.Methods Totally,180 elderly patients on intravenous infusion therapy were equally randomized into a control group and an observation group,with 90 cases in each group.After removal of Ⅳ needles,the puncture sites of the control group were pressurized for homeostasis,while the observation group were asked to elevate the limb which had received an Ⅳ puncture.Results It took the control group（164.99±50.01）s to stop bleeding,and 18 cases developed mild to moderate ecchymosis,while it took the observation group （53.50 ± 22.84）s,and 2 cases developed same degree eechymosis,with significant differences between the 2 groups （P＜0.01 for both）.Conclusion Limb elevation after removal of Ⅳ needles could shorten bleeding time in elderly patients,and reduce the incidence rate of subcutaneous ecchymosis.Therefore,the quality of venous infusion therapy is improved.

关 键 词：老年人 肢体抬高法 静脉输液 拔针 止血 护理 

分 类 号：R472[医药卫生—护理学]