国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
7期
1006-1008
,共3页
罗玉珍%雷艳%林玉珍%赵英萍
囉玉珍%雷豔%林玉珍%趙英萍
라옥진%뢰염%림옥진%조영평
动脉血气%股动脉%桡动脉%足背动脉
動脈血氣%股動脈%橈動脈%足揹動脈
동맥혈기%고동맥%뇨동맥%족배동맥
Arterial blood gas%Femoral artery%Radial artery%Dorsalis pedis artery
目的 探索足背动脉穿刺在ICU采血中的有效性.方法 对ICU 210例危重患者采取股动脉、桡动脉、足背动脉穿刺的成功率、血肿发生率、误穿静脉发生率进行统计比较,并对采血效果及不良反应进行评价.结果 3组采血方法的一次穿刺成功率依次为股动脉64.29%、足背动脉92.86%、桡动脉71.43%.(x2=20.05,P<0.05).结论 足背动脉穿刺成功率高,不良反应比桡动脉、股动脉明显要小,既能及时反映患者的内环境的状态及病情变化,又能使医务人员对患者症状采取及时的处理,并且方便护士操作,节约护士的工作时间,提高工作效率及工作质量,减轻患者痛苦,提高疾病治愈率.
目的 探索足揹動脈穿刺在ICU採血中的有效性.方法 對ICU 210例危重患者採取股動脈、橈動脈、足揹動脈穿刺的成功率、血腫髮生率、誤穿靜脈髮生率進行統計比較,併對採血效果及不良反應進行評價.結果 3組採血方法的一次穿刺成功率依次為股動脈64.29%、足揹動脈92.86%、橈動脈71.43%.(x2=20.05,P<0.05).結論 足揹動脈穿刺成功率高,不良反應比橈動脈、股動脈明顯要小,既能及時反映患者的內環境的狀態及病情變化,又能使醫務人員對患者癥狀採取及時的處理,併且方便護士操作,節約護士的工作時間,提高工作效率及工作質量,減輕患者痛苦,提高疾病治愈率.
목적 탐색족배동맥천자재ICU채혈중적유효성.방법 대ICU 210례위중환자채취고동맥、뇨동맥、족배동맥천자적성공솔、혈종발생솔、오천정맥발생솔진행통계비교,병대채혈효과급불량반응진행평개.결과 3조채혈방법적일차천자성공솔의차위고동맥64.29%、족배동맥92.86%、뇨동맥71.43%.(x2=20.05,P<0.05).결론 족배동맥천자성공솔고,불량반응비뇨동맥、고동맥명현요소,기능급시반영환자적내배경적상태급병정변화,우능사의무인원대환자증상채취급시적처리,병차방편호사조작,절약호사적공작시간,제고공작효솔급공작질량,감경환자통고,제고질병치유솔.
Objective To explore the effectiveness of dorsalis pedis artery puncture for blood withdrawal in ICU.Methods 210 critically ill patients in ICU received puncture of femoral artery,radial artery,and foot dorsal artery.The success rate of puncture,incidence of hematoma,and rate of mistaken venous puncture were analyzed,and the effect of blood withdrawal and adverse reactions were assessed.Results The primary success rate of puncture was for 64.29% femoral artery,92.86% for dorsalis pedis,and 71.43% for radial artery (x2 =20.05,P<0.05).Conclusions Dorsalis pedis artery puncture has a higher success rate of blood withdrawal and has fewer adverse reactions than radial artery and femoral artery puncture.It can timely reflect the state of internal environment and changes of disease severity and can make medical staff to manage symptoms properly.It is convenient for nurses,saves work time,improve efficiency and quality of work,relieves pain,and improve the cure rate in patients.