简易负压穿刺针联合分段式压脉带捆扎法在老年脑卒中患者前臂静脉穿刺中的应用效果  

Negative Pressure Puncture Combined with Segmented Tourniquet Venipuncture Method in Elderly Stroke Patients with Forearm Vein Puncture

作　　者：梅自伟 彭海艳[2] 沙娟 钱振宇 汤利萍[2] 董优清[3] 倪花香 万丽 周军丽[3] MEI Zi-wei;PENG Hai-yan;SHA Juan;QIAN Zhen-yu;TANG Li-ping;DONG You-qing;NI Hua-xiang;WAN Li;ZHOU Jun-li(Department of Anesthesia Surgery,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Nursing,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Neurology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院麻醉手术部,南昌330006 [2]南昌大学第一附属医院护理部,南昌330006 [3]南昌大学第一附属医院神经内科,南昌330006

出　　处：《实用临床医学（江西）》2024年第4期89-92,96,共5页Practical Clinical Medicine

基　　金：江西省卫健委科技计划项目(202210278)。

摘　　要：目的探讨简易负压穿刺针联合分段式压脉捆扎法在脑卒前臂静脉穿刺中患者中的应用效果。方法选取2022年7月至2023年7月在南昌大学第一附属医院神经内科接受治疗的脑卒中患者135例,按照随机数字表法分为对照组、试验A组和试验B组,各45例。3组均使用简易负压穿刺针,对照组采用常规压脉带捆扎法,试验A组采用上上分段式压脉带捆扎法,试验B组采用上下分段式压脉带捆扎法。比较3组一次性穿刺成功率、静脉穿刺操作性疼痛程度[用视觉模拟评分法(VAS)评估]和输液外渗的发生情况。结果对照组与试验A组、试验A组与试验B组一次性穿刺成功率比较差异无统计学意义(P>0.05),试验B组一次性穿刺成功率显著高于对照组(P=0.038);对照组与试验A组、试验A组与试验B组疼痛比较差异无统计学意义(P>0.05),试验B组疼痛程度显著低于对照组(P=0.008);对照组与试验A组、试验A组与试验B组输液外渗率比较差异无统计学意义(P>0.05),试验B组输液外渗率显著高于对照组(P=0.039)。结论在老年脑卒中患者的前臂静脉穿刺中应用简易负压穿刺针联合上下分段式压脉带捆扎法可提高穿刺成功率,降低输液外渗风险和患者疼痛感。Objective To investigate the effect of simple negative pressure puncture combined with segmented tourniquet venipuncture method in elderly stroke patients with forearm vein puncture.Methods A total of 135 stroke patients treated in the Department of Neurology of the First Affiliated Hospital of Nanchang University from July 2022 to July 2023 were selected and divided into the control group,test group A and test group B according to the method of randomized numerical table,each with 45 cases.The 3 groups used simple negative pressure puncture needles;the control group adopted the conventional tourniquet method,the test group A adopted the upper segmental tourniquet method,and the test group B adopted the upper and lower segmental tourniquet method.The 3 groups were compared in terms of the success rate of one-time puncture,the level of operative pain of venipuncture[assessed by visual analog scale(VAS)],and the occurrence of infusion extravasation.Results There was no statistically significant difference in the one-time puncture success rate between the control group and test group A,and there was no statistically significant difference in the one-time puncture success rate between test group A and test group B(P>0.05);the one-time puncture success rate in test group B was significantly higher than that in the control group(P=0.038).There was no statistically significant difference in the level of pain between the control group and test group A,and there was no statistically significant difference in the level of pain between test group A and test group B(P>0.05);the pain level in test group B was significantly lower than that in the control group(P=0.008).There was no statistically significant difference in the infusion extravasation rate between the control group and test group A,and there was no statistically significant difference in the infusion extravasation rate between test group A and test group B(P>0.05),and the infusion extravasation rate in test group B was significantly higher than that in the control

关 键 词：负压穿刺 压脉带 脑卒中 静脉穿刺 老年 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.76[医药卫生—临床医学]