老年患者浅静脉留置针两种不同留置部位的效果观察

Effects observation of two positions for venous indwelling needle among elderly patients

目的：探讨老年患者浅静脉留置针的最佳留置部位。方法将135例需要输液的70～90岁的老年患者随机分为观察组66例和对照组69例,观察组进行前臂静脉穿刺,对照组进行手背静脉穿刺。比较两组患者留置针的留置时间、相关并发症的发生率、一针穿刺的成功率及穿刺时的疼痛程度。结果观察组留置时间为（4.45±0.75）d,高于对照组的（4.16±0.85）d,静脉炎、液体外渗等总并发症发生率为12.1%,低于对照组27.5%,差异均有统计学意义（ t/χ2值分别为2.136,5.010；P 〈0.05）。观察组的穿刺时疼痛评分、一针穿刺成功率与对照组比较,差异无统计学意义[（4.12±1.99）比（3.61±1.58）分,86.4%比89.9%；t/χ2值分别为1.652,0.394；P〉0.05]。结论临床老年患者输液使用前臂静脉留置针具有一定优势,可降低留置期间并发症发生率,延长留置时间,宜作为首选。

Objective To explore the ideal positions for venous indwelling needle among elderly patients. Methods A total of 135 elderly patients, who required transfusion aged from 70 to 90 years old, were randomly divided into observation group （n=66） and control group （n=69）. Patients of the observation group underwent the pricking of forearm vein whiles patients of the control group received the pricking of dorsal hand vein. We compared the indwelling length of venous indwelling needle, incidences of related complications,＆amp;nbsp;success rate of pricking at first time and the pain level of pricking. Results The indwelling time of observation group was （4. 45 ± 0. 75） d higher than （4. 16 ± 0. 85） d of the control group; the complications such as phlebitis, fluid exudation in the observation was 12. 1% lower than 27. 5% in the control group （t/χ2 =2. 136, 5. 010;P〈0. 05）. There was no statistical significance for pain level of pricking and success rate of pricking at first time [（4. 12 ± 1. 99） vs （3. 61 ± 1. 58） score; 86. 4% vs 89. 9%; t/χ2 =1. 652, 0. 394;P〉0. 05]. Conclusions The venous indwelling needle in forearm vein has some priority, decreases the complications incidences during needle indwelling, and postpones the length of indwelling, which can be the first choice.