五指并拢拱背法手背静脉穿刺临床应用的效果研究  

Clinical effect of dorsal vein puncture with five fingers together and arching back

作　　者：张敏[1] 廉德花[2] 周霞[3] Zhang Min;Lian Dehua;Zhou Xia(Department of Gynecology and Obstetrics,Tengzhou Central People's Hospital,Tengzhou 277599,China;Department of Pediatrics,Tengzhou Central People's Hospital,Tengzhou 277599,China;Department of Obstetrics,Tengzhou Maternal and Child Health Care Hospital,Tengzhou 277599,China)

机构地区：[1]山东省滕州市中心人民医院妇产科,277599 [2]山东省滕州市中心人民医院儿科,277599 [3]山东省滕州市妇幼保健院妇产科,277599

出　　处：《国际医药卫生导报》2021年第21期3421-3424,共4页International Medicine and Health Guidance News

摘　　要：目的探讨五指并拢拱背法应用于手背静脉穿刺输液过程中的临床效果。方法选择2018年10月至2019年10月在滕州市中心人民医院分娩需静脉输液治疗的产妇126例,按随机数字表法分为观察组64例,对照组62例。产妇年龄范围为23~35岁,体质量(120.0±3.7)kg,身高(160.0±4.1)cm。观察组产妇采用五指并拢拱背法进行手背静脉穿刺输液,对照组产妇采用传统的握拳法进行手背静脉穿刺输液。对比两组产妇静脉穿刺时间、输液治疗时间、穿刺成功率、液体外渗率、疼痛程度、满意度、焦虑负面心理评判分值和抑郁不良心理调查值、对于静脉穿刺依从占据百分数。结果观察组产妇的静脉通路建立时间[(2.22±0.48)min比(2.45±0.25)min]、输液治疗时间[(1.96±0.50)h比(2.20±0.30)h]、焦虑评分[(31.24±2.30)分比(42.80±4.12)分]、抑郁评分[(32.50±3.59)分比(43.68±5.10)分]均低于对照组,疼痛程度低于对照组,观察组产妇的穿刺成功率、满意度、静脉穿刺依从人数均高于对照组,两组比较差异均有统计学意义(均P<0.05)。结论五指并拢拱背手背静脉穿刺法可降低患者疼痛程度,缩短输液治疗时间,提升静脉通路建立速度,提高穿刺成功率,提高患者满意度,改善产妇焦虑负面心理及抑郁不良心理情况,提升产妇对于静脉穿刺的依从性,是理想的手背静脉穿刺方法,值得临床推广应用。Objective To investigate the clinical effect of dorsal vein puncture and infusion with five fingers together and arching back.Methods A total of 126 parturient who needed intravenous infusion in Tengzhou Central People's Hospital were selected and divided into an observation group(64 cases)and a control group(62 cases)by the random number table method.The parturient were 23-35 years old,weighed(120.0±3.7)kg,and were(160.0±4.1)cm tall.The observation group took dorsal vein puncture and infusion with five fingers together and arching back,and the control group took dorsal vein puncture and infusion by holding fist.The venipuncture times,infusion treatment times,puncture success rates,fluid extravasation rates,pain degrees,satisfaction,anxiety negative psychological evaluation scores,depression psychological survey values,and the percentages of compliance with venipuncture were compared between these two groups.Results The venipuncture time,infusion treatment time,anxiety negative psychological evaluation score,and depression score in the observation group were lower than those in the control group[(2.22±0.48)min vs.(2.45±0.25)min,(1.96±0.50)h vs.(2.20±0.30)h,(31.24±2.30)vs.(42.80±4.12),and(32.50±3.59)vs.(43.68±5.10);all P<0.05].The pain degree in the observation group was lower than that in the control group(P<0.05).The maternal satisfaction degree,puncture success rate,and percentage of compliance with venipuncture in the observation group were higher than those in the control group(all P<0.05).Conclusion Dorsal vein puncture with five fingers together and arching back can reduce patients'pain,shorten infusion treatment time,increase the speed of venous access establishment,and improve the puncture success rate and their satisfaction,anxiety,depression,and compliance with puncture,so it is an ideal method for dorsal vein puncture and is worth being clinically generalized.

关 键 词：静脉穿刺 五指并拢拱背 手背静脉 

分 类 号：R472[医药卫生—护理学]