自制执笔式静脉穿刺拔针按压器在静脉输液拔针后按压止血中的应用  

Application effect of self-made pen-type vein puncture needle pressing tool in pressing and stopping blood after removing the intravenous infusion needle

作　　者：李少杰 LI Shao-jie(Department of Tumor Radiotherapy,Huaibei Miner General Hospital,Huaibei Anhui 235000,China)

机构地区：[1]淮北矿工总医院肿瘤放疗科,安徽淮北235000

出　　处：《蚌埠医学院学报》2019年第1期113-115,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨自制执笔式静脉穿刺拔针按压器(按压器)在肿瘤病人静脉输液拔针后按压止血中的应用效果。方法:将95例需静脉输液治疗的肿瘤病人随机分为3组:A组34例,B组31例,C组30例。A组采用传统按压方法,拔针后用棉签按压针眼止血;B组采用保留刺点上方的输液贴,拔针后使用按压器按压针眼止血的方法;C组采用拔针后保留穿刺处输液贴用手指按压针眼止血。结果:3组病人疼痛程度差异有统计学意义(P<0.01),A组与B组、C组与B组差异均有统计学意义(P<0.05);3组按压时间差异有统计学意义(P<0.01),C组与B组比较差异有统计学意义(P<0.05);3组病人瘀斑、皮下血肿发生率比较差异有统计学意义(P<0.05),且B组发生率明显低于A组(P<0.05)。结论:按压器应用于肿瘤病人静脉输液拔针时按压舒适、疼痛感小,止血效果好,按压时间优于传统手指按压。Objective:To explore the effects of self-made pen-type vein puncture needle pressing tool in pressing and stopping blood in cancer patients after removing the intravenous infusion needle.Methods:Ninety-five tumor patients with intravenous infusion were randomly divided into group A(34 cases),group B(31 cases)and group C(30 cases).Group A was treated using conventional compression method(stopping bleeding by pressing the needle eye with a cotton swab after pulling out the needle),group B was treated with infusion paste above the retaining point(stopping bleeding using self-made pen-type vein puncture needle and pressing belt according to device pressure after pulling out the needle),and group C was treated with hand pressing puncture needle site to stop bleeding after pulling out the needle.Results:There was statistical significance in the pain degree among the three groups(P<0.01),and the differences of the pain degree between group A and B,and between group C and B were statistically significant(P<0.05).There was statistical significance in pressing time among the three groups(P<0.01),and the difference of the pressing time between group C and B was statistically significant(P<0.05).The differences of the incidence rates of ecchymosis and subcutaneous hematoma among the three groups were statistically significant(P<0.05),which in group B was significantly higher than that in group A(P<0.05).Conclusions:The self-made pen-type vein puncture needle pressing tool in the application of removing the intravenous infusion needle in cancer patients is comfortable,and has little pain,good stopping bleeding effect and short time.

关 键 词：静脉输液 自制执笔式按压器 止血 

分 类 号：R47[医药卫生—护理学]