中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
1期
52-54
,共3页
先天性心脏病%静脉留置针%穿刺部位%穿刺成功率
先天性心髒病%靜脈留置針%穿刺部位%穿刺成功率
선천성심장병%정맥류치침%천자부위%천자성공솔
Congenial heart disease%Vein indwelling needle%Puncture site%Successful puncture rate
目的 探讨先天性心脏病患儿不同部位给予静脉留置针穿刺的成功率及失败原因.方法 将327例先天性心脏病患儿按随机数字表法随机分为颞浅静脉组106例、手背静脉组120例和大隐静脉组101例,分别在3个部位进行输液,比较3组留置针穿刺成功率及失败原因.结果 颞浅静脉组穿刺成功率为92.45％,分别高于手背静脉组及大隐静脉组的80.83％,80.20％,差异均有统计学意义(x2分别为6.151 8,6.371 5;P ＜0.05)；手背静脉组及大隐静脉组静脉留置针穿刺成功率比较,差异无统计学意义(P＞0.05).3组患儿因患儿剧烈挣脱、退针过快、留置针质量问题、其他原因而导致的穿刺失败率比较,差异均无统计学意义(P＞0.05)；颞浅静脉组患儿因血管欠充盈而导致的穿刺失败率为0.00％,显著低于手背静脉组及大隐静脉组的7.50％,5.94％,差异均有统计学意义(x2分别为8.704 8,6.985 2；P＜0.01)；手背静脉组及大隐静脉组因血管欠充盈而导致的穿刺失败率比较,差异无统计学意义(P＞0.05).结论 在对先天性心脏病患儿进行留置针穿刺时,可优先选择颞浅静脉作为穿刺部位,以提高穿刺成功率.
目的 探討先天性心髒病患兒不同部位給予靜脈留置針穿刺的成功率及失敗原因.方法 將327例先天性心髒病患兒按隨機數字錶法隨機分為顳淺靜脈組106例、手揹靜脈組120例和大隱靜脈組101例,分彆在3箇部位進行輸液,比較3組留置針穿刺成功率及失敗原因.結果 顳淺靜脈組穿刺成功率為92.45％,分彆高于手揹靜脈組及大隱靜脈組的80.83％,80.20％,差異均有統計學意義(x2分彆為6.151 8,6.371 5;P ＜0.05)；手揹靜脈組及大隱靜脈組靜脈留置針穿刺成功率比較,差異無統計學意義(P＞0.05).3組患兒因患兒劇烈掙脫、退針過快、留置針質量問題、其他原因而導緻的穿刺失敗率比較,差異均無統計學意義(P＞0.05)；顳淺靜脈組患兒因血管欠充盈而導緻的穿刺失敗率為0.00％,顯著低于手揹靜脈組及大隱靜脈組的7.50％,5.94％,差異均有統計學意義(x2分彆為8.704 8,6.985 2；P＜0.01)；手揹靜脈組及大隱靜脈組因血管欠充盈而導緻的穿刺失敗率比較,差異無統計學意義(P＞0.05).結論 在對先天性心髒病患兒進行留置針穿刺時,可優先選擇顳淺靜脈作為穿刺部位,以提高穿刺成功率.
목적 탐토선천성심장병환인불동부위급여정맥류치침천자적성공솔급실패원인.방법 장327례선천성심장병환인안수궤수자표법수궤분위섭천정맥조106례、수배정맥조120례화대은정맥조101례,분별재3개부위진행수액,비교3조류치침천자성공솔급실패원인.결과 섭천정맥조천자성공솔위92.45％,분별고우수배정맥조급대은정맥조적80.83％,80.20％,차이균유통계학의의(x2분별위6.151 8,6.371 5;P ＜0.05)；수배정맥조급대은정맥조정맥류치침천자성공솔비교,차이무통계학의의(P＞0.05).3조환인인환인극렬쟁탈、퇴침과쾌、류치침질량문제、기타원인이도치적천자실패솔비교,차이균무통계학의의(P＞0.05)；섭천정맥조환인인혈관흠충영이도치적천자실패솔위0.00％,현저저우수배정맥조급대은정맥조적7.50％,5.94％,차이균유통계학의의(x2분별위8.704 8,6.985 2；P＜0.01)；수배정맥조급대은정맥조인혈관흠충영이도치적천자실패솔비교,차이무통계학의의(P＞0.05).결론 재대선천성심장병환인진행류치침천자시,가우선선택섭천정맥작위천자부위,이제고천자성공솔.
Objective To compare successful rates among 3 different puncture sites of vein indwelling trocar for infants with congenital heart disease,and analyze failure reasons.Methods A total of 327 infants with congenital heart disease were randomly divided into 3 groups:the superficial temporal vein group with 106 cases,the dorsal hand vein group with 120 cases and the great saphenous vein group with 101 cases.The successful rates and influencing factors of these three groups were observed and analyzed.Results The successful puncture rate of superficial temporal vein group (92.45％) was higher than the dorsal hand vein group (80.83％) and the great saphenous vein group (80.20％),and the differences were statistically significant (x2 =6.151 8,6.371 5,respectively; P ＜ 0.05).The difference of successful rate between the dorsal hand vein group and great saphenous vein group was not statistically significant (P ＞ 0.05).The differences of failure rates among three groups due to infants' struggle,over-quick withdrawal,quality of indwelling needles and etc were all not statistically significant (P ＞ 0.05).The failure rate in the superficial temporal vein group due to non turgor vitalis was 0.00％,obviously lower than that in the dorsal hand vein group (7.50％) and the great saphenous vein group(5.94％),and the differences were statistically significant (x2 =8.7048,6.985 2,respectively; P ＜ 0.01).There was no significant difference of failure rates due to non turgor vitalis between the dorsal hand vein group and the great saphenous vein group (P ＞ 0.05).Conclusions Superficial temporal vein should be considered as the first choice for infants with congenital heart disease who need vein indwelling trocar puncture,so as to improve the successful puncture rate.
