浅静脉留置针穿刺中双止血带双交叉结扎法的临床研究

Clinical study on the method by double cross ligating tourniquet for superficial vein reten tion needle puncturing ligation method

目的探讨浅静脉穿刺双止血带双交叉结扎法对浅静脉留置针穿刺止血带结扎成功率、静脉血管充盈度及静脉穿刺成功率的影响。方法将300例静脉血管充盈度差、在消化内科住院接受静脉输液的患者浅静脉穿刺时采用止血带单、双交叉结扎法进行对比研究,共穿刺600例次,平均每例穿刺2次。采用自身对照法,分单、双日组,双日组为实验组,单日组为对照组,实验组采用双止血带双交叉结扎法,对照组采用止血带单交叉结扎法。结果观察组止血带的一次结扎成功率、不同时间的静脉血管充盈度及静脉穿刺成功率明显高于对照组(P<0.05)。结论浅静脉留置针穿刺双止血带双交叉结扎法,能提高止血带一次结扎的成功率,改善静脉血管的充盈度,从而提高浅静脉留置针穿刺的成功率及护理的工作效率,为病人的治疗与抢救赢得时间。

Objective To study the success rate of ligation, angioplerosis and vein-puncture by double cross ligating tourniquet for superficial vein retention needle puncturing ligating Method. Method 300 hospitalized patients with poor and accepted venous transfusion in digestion medicine was selected for contrast study by self control method. Average times of puncture was twice per patients by single tourniquet ligation for control group and double cross tourniquet ligation for experimental group. Total 600 times of punctures were conducted. Result The successful rate of ligation, angioplerosis and vein-puncture by double cross ligating tourniquet was significant higher than that of control groups. Conclusion Double cross ligating tourniquet for superficial vein retention needle puncturing ligating will promote the successful rate, improve angioplerosis, and will improve the efficiency of nursing and successful rate of superficial vein retention needle puncturing for wining the time for patients＇ treatment.