CAJ | 학술논문

目的探讨不同型号头皮针对慢性病成年患者静脉输液效果.方法选取我院呼吸内科住院部成年慢性病(复治肺结核)患者135例,按病床号将其分为三组,其中1 ～ 15号床患者为A组(采用5.5号头皮针)、16 ～ 30号床患者为B组(采用6.5号头皮针)和31～45号床患者为C组(采用7.0号头皮针),随机选取每号病床3例患者作为研究对象,并采用疼痛数字评价量表(NRS)法评价疼痛度分级,比较三组患者静脉输液效果.结果 A组患者静脉穿刺一次性成功率明显高于C组,无疼痛率明显高于B、C组,轻度疼痛和中度疼痛明显低于C组,穿刺部位周围淤血发生率明显低于B、C组,针眼愈合时间明显少于B、C组,且愿意接受率明显高于B、C组,组间比较差异具有统计学意义(P＜0.05);B、C组输液滴速明显高于A组,B组无疼痛率明显高于C组,比较差异有统计学意义(P＜0.05),三组间静脉炎发生率比较差异无统计学意义(P＞0.05).结论在满足输液滴速的前提上宜选择5.5号头皮针,具有提高静脉穿刺一次性成功率、缓解疼痛、减轻血管损伤和缩短针眼愈合时间等优势.
목적 탐토불동형호두피침대만성병성년환자정맥수액효과.방법 선취아원호흡내과주원부성년만성병(복치폐결핵)환자135례,안병상호장기분위삼조,기중1 ～ 15호상환자위A조(채용5.5호두피침)、16 ～ 30호상환자위B조(채용6.5호두피침)화31～45호상환자위C조(채용7.0호두피침),수궤선취매호병상3례환자작위연구대상,병채용동통수자평개량표(NRS)법평개동통도분급,비교삼조환자정맥수액효과.결과 A조환자정맥천자일차성성공솔명현고우C조,무동통솔명현고우B、C조,경도동통화중도동통명현저우C조,천자부위주위어혈발생솔명현저우B、C조,침안유합시간명현소우B、C조,차원의접수솔명현고우B、C조,조간비교차이구유통계학의의(P＜0.05);B、C조수액적속명현고우A조,B조무동통솔명현고우C조,비교차이유통계학의의(P＜0.05),삼조간정맥염발생솔비교차이무통계학의의(P＞0.05).결론 재만족수액적속적전제상의선택5.5호두피침,구유제고정맥천자일차성성공솔、완해동통、감경혈관손상화축단침안유합시간등우세.
Objective To explore the application of different types of scalp acupuncture in intravenous infusion for adult patients withchronic diseases.Methods 135 adult inpatients with chronic diseases (TB) in respiration medicine of our hospital were selected and divided into three groups according to the number of sickbed,No.1-15 sickbed as group A (#5.5 scalp acupuncture),No.16-30 sickbed as group B (#6.5 scalp acupuncture),No.31-45 sickbed as group C (#7.0 scalp acupuncture),3 patients on each sickbed were randomly selected as research objects.Pain degree was evaluated with Numerical Rating Scale (NRS),compared the effect of intravenous infusion among three groups.Results Venipuncture one-time success rate in group A was significantly higher than that in group C,the rate of pain was significantly lower than that in group B,C,the rates of mild and moderate pain were significantly lower than those in group C,the rate of passive congestion around the puncture site was significantly lower than that in group B,C,healing time of puncture site was significantly shorter than that in group B,C,the rate of compliance was significantly higher than that in group B,C.Infusion rate in group B,C was significantly higher than that in group A,the rate of pain in group B was significantly lower than that in group C.There was no statistically significant difference in the rate of phlebitis among three groups (P＞0.05).Conclusion In the condition of meeting infusion rate,patients should choose #5.5 scalp acupuncture,which can improve venipuncture one-time success rate,relieve pain and vascular damage,and shorten healing time of puncture site.