CAJ | 학술논문

目的：探讨前馈控制在老年住院患者单手穿刺技术和正规脉冲式冲封管法静脉输液管理中的应用效果。方法选择800例老年静脉穿刺输液困难患者作为研究对象，随机分为两组，各400例。观察组采用前馈控制对单手穿刺技术和正规脉冲式冲封管法静脉输液进行管理，对照组则进行单手穿刺技术和正规脉冲式冲封管法静脉输液管理但未进行前馈控制，比较两组静脉穿刺次数及穿刺所需时间，并统计两组的输液相关并发症发生率。结果观察组静脉穿刺次数显著少于对照组，差异有统计学意义(P<0.05)，穿刺所需时间显著短于对照组，差异有统计学意义(P<0.05)。观察组发生血肿形成、静脉炎及渗出严重疼痛的比例显著低于对照组，差异有统计学意义(P<0.05)。结论前馈控制在老年住院患者静脉输液管理中的应用效果显著，能有效提高静脉穿刺成功率，减少静脉穿刺并发症发生率，值得临床推广应用。
목적：탐토전궤공제재노년주원환자단수천자기술화정규맥충식충봉관법정맥수액관리중적응용효과。방법선택800례노년정맥천자수액곤난환자작위연구대상，수궤분위량조，각400례。관찰조채용전궤공제대단수천자기술화정규맥충식충봉관법정맥수액진행관리，대조조칙진행단수천자기술화정규맥충식충봉관법정맥수액관리단미진행전궤공제，비교량조정맥천자차수급천자소수시간，병통계량조적수액상관병발증발생솔。결과관찰조정맥천자차수현저소우대조조，차이유통계학의의(P<0.05)，천자소수시간현저단우대조조，차이유통계학의의(P<0.05)。관찰조발생혈종형성、정맥염급삼출엄중동통적비례현저저우대조조，차이유통계학의의(P<0.05)。결론전궤공제재노년주원환자정맥수액관리중적응용효과현저，능유효제고정맥천자성공솔，감소정맥천자병발증발생솔，치득림상추엄응용。
Objective To explore the application effect of feedforward control with singie hand puncture technology and formal pulsed intravenous infusion punch sealed tube method in the management of elderly hospitalized patients with venous transfusion. Methods 800 elderly hospitalized patients with difficult intravenous infusion were divided into two groups,400 cases in each group.The observation group were given the feedforward control in the management of a single hand puncture technique and formal pulsed intravenous infusion punch sealed tube method,the control group were given single hand puncture technique and formal pulsed intravenous infusion punch sealed tube method except feedforward control.The venipuncture times and puncture time required,incidence of complications was compared respectively. Re-sults The venipuncture times of the observation group was significantly less than that of the control group,with signifi-cant difference(P<0.05),puncture time required of the observation group was significantly shorter than that of the control group,with significant difference (P<0.05).The proportion of hematoma formation,phlebitis and oozing severe pain in the observation group was significantly lower than that in the control group,with significant difference(P<0.05). Conclusion Application effect of feedforward control in the management of elderly hospitalized patients with venous transfusion is significant,which can effectively improve the success rate of venipuncture and reduce incidence of complications,it is worthy of clinical promotion and application.