门诊老年人成功静脉穿刺方法的临床实践  

Clinical Practice of Successful Venipuncture in Elderly Outpatients

作　　者：陈少红[1] 林嘉旋[2] 

机构地区：[1]广东省人民政府机关门诊部,广东广州510030 [2]中山大学附属第三医院甲乳外科,广东广州510630

出　　处：《中国继续医学教育》2017年第11期106-108,共3页China Continuing Medical Education

摘　　要：目的提高门诊老年人静脉穿刺一次成功率和满意度。方法将210例补液量少于500 ml、需输液10天以上的门诊老年人,随机分为实验组和对照组,每组各105例。对照组采用常规握拳法进行静脉穿刺;实验组采用扎止血带代替握拳法进行静脉穿刺。结果实验组的静脉穿刺一次成功率高于对照组(P<0.01);满意度高于对照组(P<0.01)。结论门诊老年人采用扎止血带代替握拳法进行静脉穿刺,不仅可以提高静脉穿刺一次成功率,还可以提高满意度。Objective to improve the success rate of first puncture and puncture satisfaction of elderly outpatients. Methods A total of 210 elderly outpatients with less than 500 ml fluid input and more than 10 days＇ continuous infusion were randomly divided into experiment group and control group, 105 cases in each group. The patients in control group adopted fist clenching method while patients in experiment group were tied up by tourniquets for venipuncture. Results The success rate of first puncture in experiment group was significantly higher than that in control group （P〈O.O1）, as well as the puncture satisfaction （P〈O.O1）. Conclusion To replace fist clenching method with tying up a tourniquet for elderly outpatients＇ venipuncture can not only improve the success rate of first puncture, but also increase the puncture satisfaction, which deserves popularization in clinical work.

关 键 词：门诊老年人 静脉穿刺 头皮针 一次成功率 扎止血带 

分 类 号：R472[医药卫生—护理学]