新型无痛注射技术在儿童静脉穿刺中的临床应用与研究

Clinical Application and Research of New Painless Injection Technology in Children’s Venipuncture

目的:分析在儿童静脉穿刺中新型无痛注射技术的应用价值。方法:选取2016年1月2日-12月31日在中山市中医院接受静脉穿刺的儿童患者2 400例为研究对象。根据随机数字表法分为对照组和治疗组,各1 200例。对照组接受传统穿刺技术的静脉穿刺,治疗组接受新型无痛注射技术的静脉穿刺。对比两组一次穿刺成功率、患儿配合率、输液成功率及家长满意率,穿刺时心率及平均动脉压,穿刺后皮质醇(COR)、β-内啡肽(β-EP)水平。结果:治疗组一次穿刺成功率(93.42%)、患儿配合率(93.17%)、输液成功率(95.25%)及家长满意率(95.92%)均显著高于对照组的69.00%、70.33%、79.58%、80.00%,差异均有统计学意义(P<0.05);穿刺时,治疗组心率为(86.02±6.12)次/min,平均动脉压为(64.20±5.88)mmHg,均显著低于对照组的(92.33±5.24)次/min及(68.22±6.20)mmHg,差异均有统计学意义(P<0.05);穿刺后,治疗组β-EP水平为(152.99±23.59)pg/ml,COR水平为(141.88±23.33)nmol/L,均显著低于对照组的(173.32±25.33)pg/ml及(179.43±25.54)nmol/L,差异均有统计学意义(P<0.05)。结论:儿童静脉穿刺中新型无痛注射技术的应用效果显著,儿童穿刺时的生理指标及穿刺后的COR、β-EP水平均明显低于常规穿刺组,且一次穿刺成功率显著较高,儿童家属满意度较高,值得推广应用。

Objective:To analyze the application value of new painless injection technology in children’s venipuncture.Method:From January 2 to December 31,2016,a total of 2 400 pediatric patients who received venipuncture in Zhongshan Hospital of Traditional Chinese Medicine were selected as the research objects.According to random number table method,they were divided into control group and treatment group,1 200 cases in each group.The control group received venipuncture with traditional puncture technique,and the treatment group received venipuncture with new painless injection technology.The success rate of one-time puncture,children cooperation rate,infusion success rate,parents satisfaction rate,the heart rate and mean arterial pressure at puncture,and the levels of cortisol (COR) and β-endorphin (β-EP) after puncture were compared between the two groups.Result:The success rate of one puncture (93.42%),children cooperation rate (93.17%),infusion success rate (95.25%) and parents satisfaction rate (95.92%) in the treatment group were significantly higher than 69.00%,70.33%,79.58%,80.00% in the control group,the differences were statistically significant (P<0.05).At puncture,the heart rate and mean arterial pressure in the treatment group were (86.02±6.12) times/min and (64.20±5.88) mmHg respectively,which were significantly lower than (92.33±5.24) times/min and (68.22±6.20) mmHg in the control group,the differences were statistically significant (P<0.05).After puncture,the levels of β-EP and COR in the treatment group were (152.99±23.59) pg/mland (141.88±23.33) nmol/L respectively,which were significantly lower than (173.32±25.33) pg/ml and (179.43±25.54) nmol/L in the control group,the differences were statistically significant (P<0.05).Conclusion:The application effect of the new painless injection technology in children’s venipuncture is remarkable.The physiological indexes when the puncture and COR,β-EP levels after puncture in children are significantly lower than those in the conventional puncture group,and the success rate of one-time puncture is significantly higher,and the satisfaction of children’s family members is higher,which is worthy of popularization and application.