不同穿刺方案在癌症急症留置套管针患者护理中的比较  

Comparison of different puncture methods in the nursing of cancer patients with acute indwelling trocar

作　　者：刘博蕊 

机构地区：[1]首都医科大学附属北京天坛医院急诊科,北京100050

出　　处：《实用临床医药杂志》2017年第16期31-33,共3页Journal of Clinical Medicine in Practice

基　　金：国家科技支撑计划项目(2012BAI52B03)

摘　　要：目的探究不同穿刺方案在脑血管癌症急症留置套管针患者中的效果。方法选取接受输液留置套管针穿刺的脑血管类癌症患者82例,以随机数表法分为2组41例,常规组采用普通的穿刺方法,试验组采用新式的穿刺方法。调查并对比2组的留置情况、一次穿刺成功率、置管并发症、患者满意度、患者疼痛反应情况。结果试验组患者留置成功38例(92.7%),一次成功率70.7%,常规组患者留置成功32例(78.0%),一次成功率51.2%;试验组并发症共3例,常规组并发症有共9例;试验组患者对穿刺过程总满意度90.2%,常规组总满意度70.8%;试验组患者疼痛程度0~1级32例(78.0%),2级8例(19.5%),3~4级1例(2.4%);常规组患者疼痛程度0~1级28例(68.3%),2级7例(17.1%),3~4级6例(14.6%)。结论新式穿刺方法与普通穿刺方法相比留置情况更优,一次穿刺成功率更大。Objective To investigate the effect of different puncture methods in the patients with cancer with acute indwelling trocar. Methods A total of 82 cerebral blood vessel related cancer patients with transfusion trocar puncture in our hospital were randomly divided into conventional group and experimental group, with 41 cases in each group. Indwelling needle condition, the success rate of puncture, catheter complications, patient satisfaction, pain response of patients were investigated and compared. Results There were 38 cases （92.7%） with successful indwelling trocar with the success rate of 70.7%, and 32 cases （78%） in the conventional group with success rate of 51.2% （P 〈 0.05 ）. There were 3 cases with complications in the experimental group and 9 cases in the convention- al group （P 〈0.05）. The total satisfaction rate was 90.2% in the experimental group, and 70.8% in the conventional group （P 〈0.05）. There were 32 cases（78% ） with class 0 - 1, 8 cases （19.5%） with class 2, and 1 cases （2.4%） with class 3 ~ 4 in the experimental group, and were 28 cases （68.3%）, 7 cases （ 17.1% ）, 6 cases （ 14.6% ） in the conventional group, respectively （ P 〈 0.05）. Conclusion Compared with the common puncture method, the new method is superior to the conventional puncture method with higher success rate.

关 键 词：穿刺方案 癌症急症 静脉治疗 留置套管针 脑血管类癌症 

分 类 号：R472.2[医药卫生—急诊医学]