院前急救中两种静脉穿刺针的应用对比及体会

Application and experience of two kinds of venipuncture needle in pre hospital emergency treatment

目的:探讨院前急救中使用静脉留置针和普通头皮针的效果。方法:在院前出诊病例中选出采用静脉输液急救的460例患者,随机分为对照组(普通头皮针组)与观察组(静脉留置针组),每组230例,观察两组患者的一针穿刺成功率、针头滑脱率、药液外渗发生率及急诊室静脉通道保留情况。结果:两组患者的一针穿刺成功率差异无统计学意义;观察组患者的针头滑脱率及药液外渗发生率较对照组低,观察组患者的急诊室静脉通道保留率较对照组高。结论:静脉留置针的合理使用有利于维持急救阶段的静脉输液通畅度,提高了抢救效率。

Objective：To discuss the actual effect and experience of using venous indwelling needle and scalp needle in pre hospital care.Methods：in pre hospital visits in 460 cases selected by intravenous infusion resuscitation were randomly divided into control group （normal scalp acupuncture group） and observation group （catheter group）, 230 cases in each group, to observe the success rate, needle slip rate, exosmosis rate and emergency room reserved vein puncture. The two group.Results：there was no significant difference in the success rate of needle puncture between the two groups. The rate of needle slippage and the rate of extravasation of drugs in the observation group were lower than those in the control group, and the reserve rate of the emergency ventricular vein passage in the observation group was higher than that in the control group.Conclusion：the rational use of intravenous indwelling needle is helpful to maintain the patency of venous infusion during the first aid stage and improve the rescue efficiency.