分段捆扎压脉带在老年消化道出血患者静脉穿刺中的应用  

The application of segmental tourniquet banding in venipuncture in elderly patients with gastrointestinal bleeding

作　　者：蔡福临 陈秀凤 邢晓丽 程娟 邹宝 CAI Fulin;CHEN Xiufeng;XING Xiaoli;CHENG Juan;ZOU Bao(Department of Gastroenterology,the First Hospital of Anhui University of Science&Technology(Huainan First People's Hospital),Huainan 232000,China;Nursing Department,the First Hospital of Anhui University of Science&Technology(Huainan First People's Hospital),Huainan 232000,China;Department of Ultrasound Diagnosis,the First Hospital of Anhui University of Science&Technology(Huainan First People's Hospital),Huainan 232000,China)

机构地区：[1]安徽理工大学第一附属医院(淮南市第一人民医院)消化内科,淮南市232000 [2]安徽理工大学第一附属医院(淮南市第一人民医院)护理部,淮南市232000 [3]安徽理工大学第一附属医院(淮南市第一人民医院)超声诊断科,淮南市232000

出　　处：《护理管理杂志》2023年第8期639-642,共4页Journal of Nursing Administration

基　　金：安徽省教育厅重点项目(SK2019A0087);安徽省护理学会科研课题(AHHLb202129)。

摘　　要：目的探讨分段捆扎压脉带法在老年消化道出血重度贫血患者前臂静脉穿刺中的应用效果。方法选取2020年3月至2022年3月某三级甲等医院收治的105例老年消化道出血重度贫血患者为研究对象,采用随机数字表法分为A、B、C 3组,每组35例,静脉穿刺时,A组采用常规单根压脉带穿刺点上方捆扎,B组采用两根压脉带在穿刺点上方分段捆扎,C组采用两根压脉带在穿刺点上、下方分段捆扎,比较3组患者超声下静息态及捆扎后血管内径、静脉穿刺成功率、患者痛感程度。结果血管内径A组C组>A组,差异均有统计学意义(P<0.05)。结论临床采用两根压脉带在穿刺点上、下方分段捆扎可以在不增加患者痛感的基础上,提高静脉穿刺成功率,管理者可推广验证。Objective To explore the effect of segmental tourniquet banding in forearm venipuncture in elderly patients with gastrointestinal bleeding and severe anemia.Methods A total of 105 elderly patients with severe anemia in gastrointestinal bleeding from March 2020 to March 2022 in a class A tertiary hospital were selected and randomly divided into three groups with 35 in each group.Group A underwent venipuncture with a conventional single tourniquet,while the banding in Group B was divided into segments above the puncture point with two tourniquets bundled.In Group C,two tourniquets were tied above and below the puncture point separately.The inner diameter of blood vessels in resting state under ultrasound and after banding,the success rate of venipuncture and the degree of pain in patients were compared among those three groups.Results The inner diameter of the blood vessel in Group A was lower than Group B and C.The success rate of venipuncture was 88.57%in Group B and 94.29%in Group C,which were higher than 74.29%in Group A.And the pain degree score result was Group B>Group C>Group A.All those differences were statistically significant(P<0.05).Conclusion The use of upper and lower segmented tourniquet bundling can improve the success rate of venipuncture without increasing the pain of patients,which can be promoted and verified by administrators.

关 键 词：消化道出血 静脉穿刺 老年人 重度贫血 护理 

分 类 号：R473.5[医药卫生—护理学] R573.2[医药卫生—临床医学]