小儿头皮静脉穿刺两种固定方法的效果观察

Observation on effect of two fixation methods for scalp vein puncture in infants

[目的]探讨头皮静脉穿刺固定方法,降低小儿静脉复穿率。[方法]将在我院门诊进行头皮静脉穿刺输液的1 000例患儿随机分成实验组和对照组。实验组采用新法固定,对照组采用传统方法固定,观察两组患儿胶布脱离皮肤及针头脱出血管外情况。[结果]两组患儿胶布脱离皮肤、针头脱出血管发生率差异有统计学意义(P<0.05)。[结论]新固定方法能减少胶布脱落,减少针头脱出及漏液,减少复穿率,有效提高静脉输液成功率。

Objective：To probe into the fixation method for scalp vein puncture in infants, and to decrease the rate of repeated puncture of vein. Methods：A total of 1000 ill infants accepting the scalp vein puncture for transfusion in outpa- tient department in our hospital were randomly divided into test and control group. Infants of test group were fixed needle by new method. However,infants of control group accepted traditional way to fix. Then adhesive tape away from skin and pinhead off from blood vessel of all infants were observed. Results： There were statistical significant differences in terms of adhesive tape away from skin and pinhead off from blood vessel between the two groups （P〈0. 05）. Conclusion：New fixation method can reduce adhesive tape away from skin and pinhead off from blood vessel and leakage. And it can reduce the repeated punc- ture so as to effectively enhance the achievement rate of venous transfusion for ill infants.