CAJ | 학술논문

目的探讨水银血压计袖带加压法对静脉充盈不足患者静脉穿刺成功率的影响.方法选取颌面外科手术需行静脉穿刺输液的患者100例,采用随机数字表法分成两组,对照组(n=50)采用常规的橡胶止血带结扎止血法,观察组(n=50)采用缠绕银汞血压计袖带并加压止血法,比较两种方法静脉穿刺成功率及穿刺时间.结果观察组患者静脉穿刺一次成功率为88％,高于对照组的64％,两组比较差异有统计学意义(x2=7.895,P＜0.05)；观察组患者静脉穿刺总时间为(103.32±58.59)s,对照组静脉穿刺总时间为(118.10±79.07)s,两组比较差异无统计学意义(t=1.062,P＞0.05).观察组中超重及肥胖患者27例,对照组22例.观察组超重及肥胖患者的一次穿刺成功率(96％)高于对照组(50％),两组比较差异有统计学意义(x2=14.051,P＜0.05)；观察组超重及肥胖患者静脉穿刺总时间为(98.70±34.10)s,对照组为(127.86±90.46)s.两组比较差异无统计学意义(t=1.548,P＞0.05).结论在静脉穿刺点上方缠绕银汞血压计袖带并加压止血的方法能够提高静脉充盈不足患者的静脉穿刺成功率.
목적 탐토수은혈압계수대가압법대정맥충영불족환자정맥천자성공솔적영향.방법 선취합면외과수술수행정맥천자수액적환자100례,채용수궤수자표법분성량조,대조조(n=50)채용상규적상효지혈대결찰지혈법,관찰조(n=50)채용전요은홍혈압계수대병가압지혈법,비교량충방법정맥천자성공솔급천자시간.결과 관찰조환자정맥천자일차성공솔위88％,고우대조조적64％,량조비교차이유통계학의의(x2=7.895,P＜0.05)；관찰조환자정맥천자총시간위(103.32±58.59)s,대조조정맥천자총시간위(118.10±79.07)s,량조비교차이무통계학의의(t=1.062,P＞0.05).관찰조중초중급비반환자27례,대조조22례.관찰조초중급비반환자적일차천자성공솔(96％)고우대조조(50％),량조비교차이유통계학의의(x2=14.051,P＜0.05)；관찰조초중급비반환자정맥천자총시간위(98.70±34.10)s,대조조위(127.86±90.46)s.량조비교차이무통계학의의(t=1.548,P＞0.05).결론 재정맥천자점상방전요은홍혈압계수대병가압지혈적방법능구제고정맥충영불족환자적정맥천자성공솔.
Objective To investigate the effect of mercury sphygmomanometer cuff on venipancture for under-filling veins.Methods A total of 100 patients who needed intravenous transfusion were chosen and randomly divided into two groups,each with 50 cases.The control group received conventional rubber tourniquet hemostasis while the control group received mercury sphygmomanometer sleeve wrapping and pressuring hemostasis,and two groups' success rate of venipancture as well as puncturing time were compared.Results The primary success rate of venipancture was 88％ in the control group,higher than 64％ in the control group,and the difference was statistically significant (x2 =7.895,P ＜ 0.05).The total puncturing time was (103.32 ±58.59)s in the control group and (118.10 ± 79.07)s in the control group,and the difference was not statistically significant (t =1.062,P ＞ 0.05).There were 27 overweight and fat patients in the control group and 22 in the control group.The primary success rate of venipancture for overweight and fat patients was 96％ in the control group,higher than 50％ in the control group,and the difference was statistically significant (x2 =14.051,P＜0.05).The total puncturing time for overweight and fat patients was (98.70 ± 34.10)s in the control group,and (127.86 ± 90.46) in the control group,and the difference was not statistically significant (t =1.548,P ＞ 0.05).Conclusions Mercury sphygrnomanometer sleeve wrapping and pressuring hemostasis can improve the success rate of venipancture for under-filling veins.