CAJ | 학술논문

目的：探讨负压加低瓶穿刺技巧在小儿头皮静脉穿刺中的应用，提高小儿头皮静脉穿刺成功率。方法选取2014年1月~2015年1月于广东省大宝山矿业有限公司医院治疗的患儿510例作为研究对象，随机分成两组，观察组和对照组，各255例。对照组采用常规穿刺方法，观察组采用负压加低瓶负压穿刺法，比较两种穿刺方法的穿刺成功率、回血情况、满意度及疼痛程度。结果①穿刺成功率：观察组一次穿刺成功率(94.12%)明显高于对照组(83.53%)，两组比较，差异有统计学意义(P<0.05)。②回血情况：观察组回血时间明显短于对照组，回血率(96.08%)明显高于对照组(84.71%)，差异有统计学意义(P<0.05)。③满意度：观察组满意度(97.65%)明显高于对照组(87.06%)，两组比较，差异有统计学意义(P<0.05)。④疼痛程度：观察组患儿在头皮静脉穿刺时的疼痛程度与对照组比较，差异无统计学意义(P>0.05)。结论利用负压加低瓶穿刺技巧在小儿头皮静脉穿刺中有效提高了穿刺成功率，减轻了患儿痛苦，减轻了家长的心理压力和经济负担，提高了患儿及家属满意度，可在临床推广应用。
목적：탐토부압가저병천자기교재소인두피정맥천자중적응용，제고소인두피정맥천자성공솔。방법선취2014년1월~2015년1월우광동성대보산광업유한공사의원치료적환인510례작위연구대상，수궤분성량조，관찰조화대조조，각255례。대조조채용상규천자방법，관찰조채용부압가저병부압천자법，비교량충천자방법적천자성공솔、회혈정황、만의도급동통정도。결과①천자성공솔：관찰조일차천자성공솔(94.12%)명현고우대조조(83.53%)，량조비교，차이유통계학의의(P<0.05)。②회혈정황：관찰조회혈시간명현단우대조조，회혈솔(96.08%)명현고우대조조(84.71%)，차이유통계학의의(P<0.05)。③만의도：관찰조만의도(97.65%)명현고우대조조(87.06%)，량조비교，차이유통계학의의(P<0.05)。④동통정도：관찰조환인재두피정맥천자시적동통정도여대조조비교，차이무통계학의의(P>0.05)。결론이용부압가저병천자기교재소인두피정맥천자중유효제고료천자성공솔，감경료환인통고，감경료가장적심리압력화경제부담，제고료환인급가속만의도，가재림상추엄응용。
Objective To explore the use of negative pressure plus lowering bottle puncturein skills in child scalp vein puncture for improving the success rate of child scalp vein puncture. Methods 510 cases of children in Hospital of Dabaoshan Mineral Industry Co.Ltd. from January 2014 to January 2015 were randomly divided into two groups, the observation group and the control group, there were 255 cases in each group. The control group used conventional puncturein method, and the observation group used negative pressure plus lowering bottle puncturein method. The puncture success rate, blood back, satisfaction and degree of pain of two methods were compared. Results ①Puncture success rate:the puncture success rate of one time in the observation group (94.12%) was significantly higher than the control group (83.53%), the difference was statistically significant (P< 0.05). ② Blood back: the time of blood back in the observation group was significantly shorter than the control group, the rate of blood back (96.08%) was significantly higher than the control group (84.71%), the difference was statistically significant (P< 0.05). ③Satisfaction: the satis-faction of the observation group (97.65%) was significantly higher than the control group (87.06%), the difference was statistically significant (P< 0.05). ④Degree of pain: compared with control group, the degree of pain in child scalp vein puncture of the observation group was not significant (P> 0.05). Conclusion The use of negative pressure plus lowering bottle puncturein skills in child scalp vein puncture can effectively improve the puncture success rate, reduce the suffering of children, reduce the psychological stress and financial burden on parents, improve the satisfaction of children and their families, and it is worthy in clinical application.