静脉输液拔针后两种按压法的效果观察

对静脉输注脑活素、蝮蛇抗栓酶的病人，在输注结束拔针后，采用大面积按压法按压穿刺部位，并与传统的按压法进行了比较。输注脑活素的２２８例次中，１０８例次采用传统按压法，皮下出血率为３７．９６％；１２０例次采用大面积按压法，皮下出血率为３．３３％，二者比较有显著性差异（Ｐ＜０．００５）；输注蝮蛇抗栓酶的２３０例次中，１１０例次采用传统按压法，皮下出血率为４５．４５％，１２０例次采用大面积按压法，皮下出血率为５．００％，二者比较有显著性差异（Ｐ＜０．００５）。本结果提示静脉输注抗凝、溶栓类药物拔针后，大面积按压法优于传统按压法。

Comparision of Effect of Two Different Pressings after Extracting the Needle for a Venous Transfusion

A new technique, an extensive pressing at the puncture site,was used after extracting the needle in the patients who were given a venous transfusion of cerebrolysin or ahylysantinfarctase and compared with the traditional pressing. The rate of subcutaneous hemorrhage took 37.96% among 228 patients/times for a venous transfusion of cerebrolysin when the traditional pressing was used in 108 patients/times.When the new pressing was used in 120 patients/times, the rate of subcutaneous hemorrhage was 3.33%. There was significant difference between them(P<0. 005). If the traditional pressing was used in 110 patients/times, the rate of subcutaneous hemmorrhage took 45. 45% among 230 patients/times for a venous transfusion of ahylysantinfarctase.If the new pressing was used in 120 patients/times, the rate of subcutaneous hemmorrhage was 5.00%. There was significant difference between them(P< 0.005). It was suggested that the new pressing was better than the traditional pressing for a venous transfusion of anticoagulant or thrombolytic drugs.