三联抗栓治疗患者拔除静脉留置针后按压时间的研究

Study on the Pressing Time of Triple Antithrombotic Therapy in Patients after Pulling out Venous Indwelling Needle

目的探讨应用阿司匹林+氯吡格雷+低分子肝素进行三联抗栓治疗患者拔除静脉留置针后的按压时间。方法2013年1-12月,便利抽样法选择淮安市涟水县人民医院心内科收治的采用静脉留置针应用以上三联抗栓治疗的患者300例为研究对象,按随机数字表法将其分为A、B、C、D等4组,每组各75例。4组患者拔除静脉留置针后按压时间分别为4、6、8、10 min,观察患者流血情况、24h后局部瘀血的情况及患者的满意率,并进行统计分析。结果4组患者在出血情况及24h局部瘀血情况上的差异均有统计学意义(均P<0.05)。4组患者对拔除静脉留置针后按压的满意率分别为65.33%、81.33%、97.33%、90.67%,以C组最高,差异有统计学意义(P<0.05)。结论局部压迫8 min既能有效地减少出血,提高患者的满意率;又能保护静脉资源,值得在临床上推广应用。

Objective To discuss the application of aspirin＋ clopidogrel＋ nadroparin calcium of triple antithrombotic therapy in patients after pulling out venous indwelling needle and pressing time.Methods By convenience sampling,300 patients were selected and randomly divided into A,B,C,D four groups,with 75 cases in each group.The pressing time for each group after pull out of venous inswelling needle was 4min,6 min,8 min,and 10 min,respectively.The bleeding situation,incidence of local congestion after 24 hours and satisfaction level of patients were observed and analyzed.Results There was statistical significance showed in the bleeding situation and incidence of local congestion after 24 hours between two groups（all P〈0.05）.The satisfaction level of four groups were 65.33%,81.33%,97.33%,90.67% respectively,and the group C ranked the highest（P〈0.05）.Conclusion The 8min local compression can effectively reduces the bleeding complications,and improve the satisfaction level,as well as protect the vein resources,which is worthwhile for clinical application..