儿科单手留置针穿刺法的应用实践

Application of one hand indwelling needle puncture technique for pediatric patients

目的探讨单手留置针穿刺法在儿科中的应用效果。方法选取2015年2月—2017年2月行静脉留置针输液的患儿148例,按照入院顺序编号分为对照组和观察组,各74例。对照组行传统穿刺,观察组实施单手留置针穿刺。观察2组穿刺舒适度、留置时间、一次性穿刺成功率、不良反应发生率。结果观察组一次性穿刺成功率为97.30%(72/74),高于对照组的81.08%(60/74)(P<0.05)。观察组穿刺舒适率高于对照组(P<0.05),穿刺不良反应发生率低于对照组(P<0.05),留置针留置时间长于对照组(P<0.05)。结论单手留置针穿刺法应用于儿科穿刺技术中可提高穿刺准确性和满意度,改善穿刺舒适度,延长留置时间,减少不良反应发生风险。

bObjective To evaluate the application of one hand indwelling needle puncture technique for pediatric patients. Methods Totally 148 pediatric patients undergoing intravenous infusion were assigned to the control group and the observation,with 74 cases in each group. The conventional puncture method was adopted in the controls,and the one hand indwelling needle puncture technique was carried out in the observation group. The comfort level,indwelling time,one-time successful puncture rate,incidence of adverse reaction and satisfaction degree of parents to nursing service were observed and compared between two groups. Results The one-time successful puncture rate was 97. 30%（ 72/74） in the observation group and was 81. 08%（ 60/74） in the control group,with a significant difference（ P〈0. 05）. Patients in the observation group had a higher comfort level,lower incidence of adverse reaction and longer indwelling time compared with those in the control group（ P〈0. 05）. Conclusion Application of one hand indwelling needle puncture technique may improve the one-time successful puncture rate,prolong the indwelling time and reduce the risk of puncture associated adverse reaction.