血管钳持针柄静脉直刺法减轻疼痛的观察

Observation of Lessening Pain by Direct Puncture Intravenation Using Blood Vessel Forceps

目的:寻找静脉穿刺及拔针时减轻患者疼痛及减少对组织血管损伤的方法。方法:采用自身对照法,单日采用传统穿刺及拔针法,双日采用改良直刺及拔针法。结果:改良法较传统法疼痛程度减轻(P<0.01);一次穿刺成功率显著提高(P<0.01);拔针后血管周围淤血、出血、液体渗漏、静脉的损伤程度显著降低(P<0.05)。结论:用血管钳持针柄直刺法,针尖斜面对血管组织的机械切割面积小,速度快,省力,稳定度高,提高穿刺成功率,配合改良拔针法,能有效减轻疼痛,降低并发症。

Objective： To find a way of lessening pain and alleviating vessel wound. Methods： Traditional direct puncture and needle withdrawal were applied on odd-numbered days and modified direct puncture and needle withdrawal on even-numbered days by self-control. Results： The response to pain, peri-vessel congestion, bleeding, liquid effusion, damage to vessels were less after withdrawal of needles and the success rate of one puncture was higher using the modified method compared with the traditional method. Conclusions＂ The puncture was small when using this method and it was quicker, labour-saving, more successful and stable. This method could relieve the pain of patients and reduce complication incidences.