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不同进针角度对小儿头皮静脉留置针穿刺效果对比
引用本文:董楠. 不同进针角度对小儿头皮静脉留置针穿刺效果对比[J]. 中国民康医学, 2020, 0(1): 142-143,146
作者姓名:董楠
作者单位:;1.郑州市第七人民医院
摘    要:目的:比较不同进针角度对小儿头皮静脉留置针穿刺效果。方法:选取93例头皮静脉留置针患儿作为研究对象,按照患儿就诊顺序依次纳入对照组、研究组1、研究组2各31例,并依次采取传统20°进针、改进的30°进针和45°进针方式穿刺。比较3组穿刺成功率。结果:研究组1患儿的一次性穿刺成功率为96.77%,研究组2为93.55%,对照组为74.19%,研究组1、研究组2成功率均高于对照组,差异有统计学意义(P<0.05);研究组1与研究组2穿刺一次成功率比较,差异无统计学意义(P>0.05);研究组1、研究组2的静脉留置针的留置时间均长于对照组,差异有统计学意义(P<0.05);研究组1和研究组2静脉留置针的留置时间比较,差异无统计学意义(P>0.05);研究组1、研究组2患儿家长护理满意度均高于对照组,差异有统计学意义(P<0.05);研究组1和研究组2患儿家长护理满意度比较,差异无统计学意义(P>0.05)。结论:30°和45°进针的方式优于传统20°进针,提高了穿刺成功率,减轻了患儿疼痛,满意度明显提高。

关 键 词:静脉留置针  小儿  进针角度  穿刺效果

Comparison of puncture effects of different puncture angles of scalp vein indwelling needle in children
DONG Nan. Comparison of puncture effects of different puncture angles of scalp vein indwelling needle in children[J]. medical journal of chinese peoples health, 2020, 0(1): 142-143,146
Authors:DONG Nan
Affiliation:(The 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
Abstract:Objective:To compare puncture effects of different puncture angles of scalp vein indwelling needle in children.Methods:Ninety-three children with scalp vein indwelling needles were selected as the subjects.According to the order of visiting,they were divided into control group,study group 1 and study group 2,31 cases in each group.Traditional 20°needle insertion,improved 30°needle insertion and 45°needle insertion were adopted,orderly.The success rate of puncture was compared among the three groups.Results:The success rate of one-time puncture was 96.77%in study group 1,93.55%in study group 2 and 74.19%in control group.The success rates of study group 1 and study group 2 were higher than that of control group(P<0.05),and the differences were statistically significant(P<0.05);however,there was no significant difference between study group 1 and study group 2(P>0.05).The indwelling time of intravenous indwelling needle in study group 1 and 2 were longer than that in control group,and the differences were statistically significant(P<0.05);however,there was no significant difference between study group 1 and study group 2 in the indwelling time of intravenous indwelling needle(P>0.05).The nursing satisfactions of the parents in study group 1 and 2 were higher than that in control group,and the differences were statistically significant(P<0.05);however,there was no significant difference between study group 1 and study group 2(P>0.05).Conclusions:30°needle insertion and 45°needle insertion are superior to the traditional 20°needle insertion,which can improve the puncture success rate,relieve the children’pain,and significantly improve the satisfaction.
Keywords:Intravenous indwelling needle  Children  Puncture angle  Puncture effect
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