拇指推针法对急诊输液患儿的临床应用价值

Clinical value of thumb push for emergency infusion needle children

目的探讨拇指推针法对急诊输液患儿的临床应用价值。方法选择2014年4月-6月的296例急诊输液患儿为研究对象,按数字表法将患儿随机分为观察组144例和对照组152例。观察组采用拇指推针法,对照组采用两种传统静脉穿刺推针法,比较两组患儿穿刺成功率、家长满意度、患儿疼痛反应、穿刺时间、舒适度以及患儿并发症发生率和复诊率。结果观察组成功率与满意度均高于对照组（均P〈0.05）;观察组疼痛较轻,剧痛例数少于对照组（P〈0.05）;观察组穿刺时间短于对照组,舒适度评分高于对照组（P〈0.05）;观察组患儿并发症发生率及复诊率均少于对照组,差异均有统计学意义（均P〈0.05）。结论拇指推针法在临床中与其他两种常用进针方法相比,穿刺时间长短、成功率、穿刺舒适度和疼痛程度均明显优越于传统进针方法,且家长满意度高,可在临床推广应用。

Objective To evaluate the clinical value of acupuncture thumb push for emergency intravenous infusion of children.Methods 296 children in emergency infusion were randomly divided into observation group（144cases）and control group（152cases）.Observation group was treated with thumb push acupuncture.The control group was treated with traditional push venipuncture needle.The puncture success rate,parent＇s satisfaction,pain response,puncture time,comfort and complications,and referral of children rate were observed.Results The puncture success rate and parent＇s satisfaction of observation group were higher than that of control group.The pain and incidence of serious pain of observation group was less than that of control group（P〈0.05）.The time of observation group was shorter than that of the control（P〈0.05）.The rate of return visit and complication of observation group was lower than that of the control group（P〈0.05）.Conclusion The thumb push needle has success rate,puncture comfort and less pain,which is significantly better than traditional needle method.