浅静脉留置逆向穿刺法的临床观察

目的探讨临床长期输液且血管条件较差患者采用逆向穿刺浅静脉留置针的可行性。方法将120例年龄从18岁到76岁的患者作为研究对象,采用自身对照法,选择血管为左右手背浅静脉。观察组采用浅静脉离心穿刺留置针,对照组采用向心穿刺留置针,比较2组一次穿刺成功率、液体渗出发生率、对手活动度、平均输液流速、2组置管时间及静脉炎发生率。结果观察组一次穿刺成功率、液体渗出发生率、手活动度、平均输液流速、置管时间及静脉炎发生率优于对照组。结论临床长期输液且血管条件较差患者采用逆向穿刺浅静脉留置针是一种可行的、有效的穿刺方法。

Clinical observation of antidromic puncturing and detaining of the superficial vein trochar with the direction towards the Heart from Peripheral Vein

Objective To explore the feasibility of antidromic puncturing at superficial vein trochar with the direction away from the heart to peripheral vein in the patients with poor vein condition who need a long-term transfusion.Methods 120 patients with the ages ranging from 18 to 76 were selected as the subjects.The self control method was used.The selected blood vessel was the superficial vein positioned at the left and right back of the patients' hand.The observation group used the superficial vein trochar with the direction away from the heart to peripheral vein,and the control group used the superficial vein trochar with the direction from the peripheral vein to the heart.The frequency of successful puncturation in one time,the hand activity,the incidence rate of effusion,the average transfusion velocity,the detaining duration of vein trochar and the incidence rate of phlebitis in the two groups were compared.Results The frequency of successful puncturation in one time,the hand activity,the hand activity and the average transfusion velocity,the detaining duration of vein trochar and the incidence rate of phlebitis in the observation group were superior to those in the control group.Conclusions The puncturing direction away from the heart to peripheral vein was a feasible and effective method in the patients with poor vein condition who need transfusion for a longer time.