国际中文开源期刊平台

双止血带逆行穿刺法在手臂静脉充盈不良输液中的应用效果

The effect of double tourniquet retrograde puncture in the transfusion of arm vein filling

护理学资讯 / 2020,2(1)：11-16 / 2020-04-28 2208 3806

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• 作者： 丁芸     
• 单位：

  南宁市第三人民医院，南宁

• 关键词： 双止血带；逆向穿刺；输液；护理
• Double tourniquet; Reverse Puncture; Infusion; Nursing
• 摘要： 目的：观察双止血带逆行穿刺法在手臂静脉充盈不良输液中的应用效 果。方法：选择静脉输液患者 196 例，随机分为对照组（单根止血带向心输液） 和实验组（双止血带逆向输液），每组各 98 例，穿刺部位为手臂静脉。结果： 实验组充盈表浅 12 例，充盈明显 54 例，充盈饱满 32 例；对照组充盈表浅 69 例，充盈明显 26 例，充盈饱满 3 例。两组充盈程度比较差异有统计学意义（P ＜ 0.05）。实验组回血率、一次成功率明显高于对照组，差异有统计学意义（P ＜ 0.05）；实验组对关节活动有影响、渗出率明显少于对照组，差异有统计学 意义（P ＜ 0.05）。结论：逆向穿刺方法取材方便，操作简单、易行、安全高效， 不增加成本，值得临床应用推广，适用于各种原因引起的静脉充盈不良的患者。
• Objective: To observe the effect of double tourniquet retrograde puncture in the treatment of arm vein filling. Methods: 196 patients with intravenous transfusion were randomly divided into two groups: control group (single tourniquet for centripetal transfusion) and experimental group (double tourniquet for reverse transfusion). Each group had 98 patients, and the puncture site was arm vein. Results: in the experimental group, there were 12 cases of superficial filling, 54 cases of obvious filling and 32 cases of plumpness; in the control group, there were 69 cases of superficial filling, 26 cases of obvious filling and 3 cases of plumpness. There was significant difference in filling degree between the two groups (P < 0.05). The recovery rate and one-time success rate of the experimental group were significantly higher than those of the control group (P < 0.05), and the exudation rate of the experimental group was significantly lower than that of the control group (P < 0.05). Conclusion: the method of reverse puncture is convenient, easy to operate, safe and efficient, without increasing the cost. It is worthy of clinical application and promotion. It is suitable for patients with poor filling of vein caused by various reasons.
• DOI： https://doi.org/10.35534/ni.0201003c
• 引用： 丁芸．双止血带逆行穿刺法在手臂静脉充盈不良输液中的应用效果［J］．护理学资讯，2020，2（1）：11-16．