不同型号头皮针对成年慢性病患者静脉输液效果的研究  

The application of different types of scalp acupuncture in intravenous infusion for adult patients with chronic diseases

作　　者：彭素珍 张英丽 彭素兰 郑淑芳 陈小燕 

机构地区：[1]汕头市第三人民医院,515073

出　　处：《国际医药卫生导报》2015年第8期1047-1049,1052,共4页International Medicine and Health Guidance News

基　　金：广东省汕头市医疗科技计划项目（汕府科[2014]62号）

摘　　要：目的探讨不同型号头皮针对慢性病成年患者静脉输液效果。方法选取我院呼吸内科住院部成年慢性病（复治肺结核）患者135例，按病床号将其分为三组，其中1—15号床患者为A组（采用5．5号头皮针）、16～30号床患者为B组（采用6．5号头皮针）和31—45号床患者为C组（采用7．0号头皮针），随机选取每号病床3例患者作为研究对象，并采用疼痛数字评价量表（NRS）法评价疼痛度分级，比较三组患者静脉输液效果。结果A组患者静脉穿刺一次性成功率明显高于c组，无疼痛率明显高于B、c组，轻度疼痛和中度疼痛明显低于C组，穿刺部位周围淤血发生率明显低于B、c组，针眼愈合时间明显少于B、c组，且愿意接受率明显高于B、C组，组间比较差异具有统计学意义（P〈0．05）；B、C组输液滴速明显高于A组，B组无疼痛率明显高于C组，比较差异有统计学意义（P〈0．05），三组间静脉炎发生率比较差异无统计学意义（P〉0．05）。结论在满足输液滴速的前提上宜选择5．5号头皮针，具有提高静脉穿刺一次性成功率、缓解疼痛、减轻血管损伤和缩短针眼愈合时间等优势。Objective To explore the application of different types of scalp acupuncture in intravenous infusion for adult patients with chronic diseases. Methods 135 adult inpatients with chronic diseases （TB） in respiration medicine of our hospital were selected and divided into three groups according to the number of sickbed, No.1-15 sickbed as group A （#5.5 scalp acupuncture）, No.16-30 sickbed as group B （#6.5 scalp acupuncture）, No.31-45 sickbed as group C （#7.0 scalp acupuncture）, 3 patients on each sickbed were randomly selected as research objects. Pain degree was evaluated with Numerical Rating Scale （NRS）, compared the effect of intravenous infusion among three groups. Results Venipuncture one-time success rate in group A was significantly higher than that in group C, the rate of pain was significantly lower than that in group B, C, the rates of mild and moderate pain were significantly lower than those in group C, the rate of passive congestion around the puncture site was significantly lower than that in group B, C, healing time of puncture site was significantly shorter than that in group B, C, the rate of compliance was significantly higher than that in group B, C. Infusion rate in group B, C was significantly higher than that in group A, the rate of pain in group B was significantly lower than that in group C. There was no statistically significant difference in the rate of phlebitis among three groups （P〉0.05）. Conclusion In the condition of meeting infusion rate, patients should choose #5.5 scalp acupuncture, which can improve venipuncture one-time success rate, relieve pain and vascular damage, and shorten healing time of puncture site.

关 键 词：头皮针 慢性病 成年 静脉输液 

分 类 号：R194.3[医药卫生—卫生事业管理]