真空负压穿刺在急危重症患者留置针穿刺中的应用效果  

Application Effect of Vacuum Negative Pressure Puncture in Indwelling Needle Puncturein Critically Ill Patients

作　　者：姚丽 石蕾 欧阳华 刘莎 朱榆 YAO Li;SHI Lei;OUYANG Hua;LIU Sha;ZHU Yu(Emergency Department,Pingxiang Second People's Hospital,Pingxiang 337000,Jiangxi,China)

机构地区：[1]萍乡市第二人民医院急诊科,江西萍乡337000

出　　处：《医学信息》2020年第22期183-185,共3页Journal of Medical Information

摘　　要：目的观察真空负压穿刺在急危重症患者留置针穿刺中的应用效果,为提高危重症患者的抢救生成率提供帮助。方法选择2017年7月~2018年5月我院急诊科收治的需行动静脉留置针穿刺的80例急危重症患者作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。对照组行常规动静脉留置针穿刺法,观察组采用真空负压穿刺法进行动静脉留置针穿刺,比较两组首次穿刺成功率、回血率、穿刺成功所用时间、建立动静脉通路所需时间、穿刺成功所需次数及并发症发生情况。结果观察组首次穿刺成功率为97.50%,高于对照组的75.00%,差异有统计学意义(P<0.05);观察组回血率为95.00%,高于对照组的67.50%,差异有统计学意义(P<0.05);观察组穿刺成功所用时间、建立动静脉通路所需时间及穿刺成功所需次数分别为(2.41±0.54)min、(3.10±0.47)min、(1.01±0.05)次,少于对照组的(6.72±0.73)min、(8.25±0.86)min、(3.24±0.27)次,差异有统计学意义(P<0.05)。观察组并发症总发生率为7.50%,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论真空负压穿刺法可有效提高危重症患者留置针穿刺的成功率,可快速建立循环通路,穿刺耗时短,穿刺成功率高。Objective To observe the application effect of vacuum negative pressure puncture in the indwelling needle puncture of critically ill patients,and provide help to improve the rescue rate of critically ill patients.Methods From July 2017 to May 2018,80 critically ill patients who were admitted to the emergency department of our hospital and required mobile venous indwelling needle puncture were selected as the research objects.According to the random number table method,they were divided into observation group and control group,each with 40 example.The control group underwent conventional arteriovenous indwelling needle puncture,and the observation group underwent arteriovenous indwelling needle puncture by vacuum negative pressure puncture.The first puncture success rate,blood return rate,time for successful puncture,and the time required to establish arteriovenous access were compared between the two groups.The number of successful punctures and the occurrence of complications.Results The first puncture success rate of the observation group was 97.50%,which was higher than 75.00%of the control group,the difference was statistically significant(P<0.05);the blood return rate of the observation group was 95.00%,which was higher than 67.50%of the control group,the difference was statistically significant(P<0.05);the time required for successful puncture,the time required to establish arteriovenous access,and the number of times required for successful puncture in the observation group were(2.41±0.54)min,(3.10±0.47)min,and(1.01±0.05)times,respectively,less than the control group(6.72±0.73)min,(8.25±0.86)min,(3.24±0.27)times,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 7.50%,which was lower than 30.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The vacuum negative pressure puncture method can effectively improve the success rate of indwelling needle puncture in critically ill patients,can quickly est

关 键 词：危重患者 留置针 真空负压 动脉 静脉 穿刺 

分 类 号：R472[医药卫生—护理学]