中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
13期
140-140,142
,共2页
静脉输液%静脉穿刺%头皮静脉穿刺
靜脈輸液%靜脈穿刺%頭皮靜脈穿刺
정맥수액%정맥천자%두피정맥천자
Intravenous infusion%Venipuncture%Scalp vein puncture
目的：总结并归纳多年临床护理经验，提出一种行之有效的拥有较高成功率的小儿头皮静脉穿刺方法，以供参考与借鉴。方法：选取600例需进行输液的患儿为观察对象，随机分为观察组和对照组，各300例。观察组通过用新方法对患儿进行头皮静脉输液，对照组采用传统方法进行的小儿头皮静脉穿刺输液。比较两组疗效。结果：观察组1针成功率达95.1%，复针的成功率4.9%，液体外渗率3%，针头脱出血管率0.9%，血管周围发红率1%，血管阻塞率1.6%，平均每条静脉使用次数4.76次。对照组1针成功率86%，复针成功率14%，液体外渗率12%，针头脱出率8.6%，血管周围发红率5.4%，血管阻塞率1.8%，平均每条静脉重复使用次数3.29次。两组比较差异有统计学意义(P＜0.05)。结论：小儿头皮静脉穿刺有较高难度，实践证明只要方法得当，小儿头皮静脉穿刺的成功率也可以达到较高的水平。
目的：總結併歸納多年臨床護理經驗，提齣一種行之有效的擁有較高成功率的小兒頭皮靜脈穿刺方法，以供參攷與藉鑒。方法：選取600例需進行輸液的患兒為觀察對象，隨機分為觀察組和對照組，各300例。觀察組通過用新方法對患兒進行頭皮靜脈輸液，對照組採用傳統方法進行的小兒頭皮靜脈穿刺輸液。比較兩組療效。結果：觀察組1針成功率達95.1%，複針的成功率4.9%，液體外滲率3%，針頭脫齣血管率0.9%，血管週圍髮紅率1%，血管阻塞率1.6%，平均每條靜脈使用次數4.76次。對照組1針成功率86%，複針成功率14%，液體外滲率12%，針頭脫齣率8.6%，血管週圍髮紅率5.4%，血管阻塞率1.8%，平均每條靜脈重複使用次數3.29次。兩組比較差異有統計學意義(P＜0.05)。結論：小兒頭皮靜脈穿刺有較高難度，實踐證明隻要方法得噹，小兒頭皮靜脈穿刺的成功率也可以達到較高的水平。
목적：총결병귀납다년림상호리경험，제출일충행지유효적옹유교고성공솔적소인두피정맥천자방법，이공삼고여차감。방법：선취600례수진행수액적환인위관찰대상，수궤분위관찰조화대조조，각300례。관찰조통과용신방법대환인진행두피정맥수액，대조조채용전통방법진행적소인두피정맥천자수액。비교량조료효。결과：관찰조1침성공솔체95.1%，복침적성공솔4.9%，액체외삼솔3%，침두탈출혈관솔0.9%，혈관주위발홍솔1%，혈관조새솔1.6%，평균매조정맥사용차수4.76차。대조조1침성공솔86%，복침성공솔14%，액체외삼솔12%，침두탈출솔8.6%，혈관주위발홍솔5.4%，혈관조새솔1.8%，평균매조정맥중복사용차수3.29차。량조비교차이유통계학의의(P＜0.05)。결론：소인두피정맥천자유교고난도，실천증명지요방법득당，소인두피정맥천자적성공솔야가이체도교고적수평。
Objective:To sum up the clinical nursing experience for many years,to put forward an effective method of children scalp vein puncture with high success rate,which can be used for reference.Methods: 600 needed transfusion of children were selected, who randomly divided into observation group and control group, each group 300 cases.Observation group by using the new method on children with scalp intravenous fluids, while the control group using traditional methods for pediatric scalp vein puncture infusion.Compare the curative effect of two groups.Results: The observation group 1 needle success rate of 95.1%, after the success rate of 4.9%, needle liquid leakage rate is 3%, needle emergence rate of blood vessels by 0.9%, the blood vessels around the red rate is 1%, angiemphraxis rate is 1.6%, average 4.76 times per article intravenous use.Control group 1 needle success rate 86%, compound needle success rate 14%, liquid leakage rate is 12%, the needle out rate is 8.6%, the blood vessels around the red rate 5.4%, angiemphraxis rate is 1.8%, average 3.29 times per vessel number of repeated use.The diffence between the two groups was statistically significant (P <0.05).Conclusion:There are higher degree of difficulty in infantile scalp vein puncture.Practice has proved that as long as using the proper methods,and the infant scalp vein puncture success rate can also reach a higher level.
