握拳及不握拳手势在手背静脉穿刺中的应用

目的比较采用握拳及不握拳手势在手背静脉穿刺中的应用效果。方法随机将200例行静脉穿刺的患者分为不握拳组100例和握拳组100例,不握拳组采用患者不握拳手势进行静脉穿刺;握拳组采用患者握拳手势进行静脉穿刺。比较两组穿刺的成功率及患者舒适度。结果不握拳组穿刺成功率为92.0%,握拳组为82.0%;不握拳组患者舒适度为98.0%,握拳组为85.0%,两组比较,均P〈0.05,差异具有统计学意义。结论采用患者不握拳手势进行静脉穿刺在提高穿刺成功率、患者舒适度方面优于采用握拳手势,值得在临床中推广使用。

Objective To compare the success rate and the satisfaction degree at venipuncture by fist-making or non-fist-making. Methods 200 patients undergoing transfusion were randomized in equal number into fist-making group and non-fist-making group. In the former group,the patients made their fists at venipucture,while in the latter those did not make any fists at venipuncture. The success rate and the comfortable degree were compared between the two groups. Results The success rates of the former and the latter were 92.0% and 82.0%,respectively and the difference was significant（P 0.05） . The satisfaction rates were 98.0% and 85.0%,respectively and the difference was significant（all P 0.05） . Conclusion The non-fist-making at venipuncture is effective in increases of success rate and satisfaction rate and thus worth implementing in clinical.