CAJ | 학술논문

目的探讨通过静脉留置针接采血器为急危重患者抽血,以及建立静脉通道,对穿刺成功率、完成时间及病人满意度的影响.方法将2008年5月-2010年9月我科收治的危重病人220例随机分成两组,观察组采用行外周浅静脉留置针穿刺,同时接真空采血器抽血化验、输液,对照组按常规分别行外周静脉输液及真空采血器抽血化验.观察2组在完成时间、患者满意度、穿刺成功率进行对比.结果观察组穿刺成功率为93.9%,完成时间(65±12)s,病人满意度97.3%.对照组穿刺成功率为85.7%,完成时间(88±15)s,病人满意度90.4%.观察组只进行一次静脉穿刺,时间快,既可输液又同时采血.结论采用静脉留置针接真空采血器穿刺一次就可以解决抽血输液的问题,不会影响到标本所需的血量及质量[1],同时缩短了完成时间,减轻病人痛苦,提高病人满意度.
목적 탐토통과정맥류치침접채혈기위급위중환자추혈,이급건립정맥통도,대천자성공솔、완성시간급병인만의도적영향.방법 장2008년5월-2010년9월아과수치적위중병인220례수궤분성량조,관찰조채용행외주천정맥류치침천자,동시접진공채혈기추혈화험、수액,대조조안상규분별행외주정맥수액급진공채혈기추혈화험.관찰2조재완성시간、환자만의도、천자성공솔진행대비.결과 관찰조천자성공솔위93.9%,완성시간(65±12)s,병인만의도97.3%.대조조천자성공솔위85.7%,완성시간(88±15)s,병인만의도90.4%.관찰조지진행일차정맥천자,시간쾌,기가수액우동시채혈.결론 채용정맥류치침접진공채혈기천자일차취가이해결추혈수액적문제,불회영향도표본소수적혈량급질량[1],동시축단료완성시간,감경병인통고,제고병인만의도.
Objective To probe into the influence of exsanguination and establishment of intravenous access upon puncture success rate, completion time and the satisfaction of the patients through the venous indwelling needle connected with vvacuum intravenous hemostix for acute and critically ill patients.Methods The 220 critically ill patients admitted to our department were randomly divided into two groups during the May 2008 to September 2010, the observation group adopts venous indwelling needle connected with vacuum intravenous hemostix to take blood tests and transfusion, the control group was performed intravenous infusion by routinely and blood tests by vacuum intravenous hemostix ,and to observe the comparation of completion time, patient satisfaction, the success rate of puncture, in 2 groups. Results The puncture success rate of the observation group was 93.9%,completion time was (65±12)s. 97.3%patient was satisfactory.The puncture success rate of the control group was 85.7%,the completion time was (88±15)s, 90.4% patient was satisfactory. The observation group with venipuncture and exsanguination at the same time was faster. Conclusion The venous indwelling needle connected with vacuum intravenous hemostix can solve the problem, will not affect the amount of blood required and the quality of specimens[1],while reducing the completion time and patient's suffering, improving patient' s satisfaction.