老年患者浅静脉置管拔管后按压时间与穿刺点出血情况

目的 探讨老年患者浅静脉置管拔管后按压时间与穿刺点出血情况.方法 选取呼吸内科住院病区内2015年6~12月的符合条件的老年住院患者400例.根据拔针后按压时间将其分成2组,随机将200例作为实验组,采用5~6 min按压;将200例作为对照组,采用3~4 min按压.由同一组护士拔针后对患者穿刺点进行按压,最后观察患者的皮肤及血管情况,发现老年患者浅静脉置管拔管后最佳按压时间.结果 实验组与对照组在出现渗血、青紫、下次穿刺成功率、红肿、疼痛感、舒适度方面进行比较,差异有统计学意义(P<0.05).结论 老年患者浅静脉置管拔管后按压时间与穿刺点出血情况比较中,5~6 min组出现渗血、青紫较对照组明显减少,下次穿刺成功率明显升高;红肿、疼痛感明显降低,舒适度明显提高.

Study on the Pressing Time and Puncture Site Bleeding after Extubation of Superficial Venous Catheter in E Iderly Patients

Objective To investigate the pressing time and puncture site bleeding after extubation of superficial venous catheter in elderly patients. Methods Four hundred elderly inpatients were selected from respiratory department during June 2015 and December 2015 and were divided into two groups: 200 patients as experimental group with pressing time of 5-6 minutes and 200 patients as control group with pressing time of 3-4minutes. The same group of nurses pressed the puncture site after extubation and changes on skin and vessels were observed, which was to find out the optimal pressing time after extubation of superficial venous catheter in elderly patients. Results The presence of bleeding,bruising,success rate of the second puncture,swelling, pain and degree of comfort were compared between two groups and significant differences were found(P<0.05). Conclusion Compared with those in control group,less bleeding,bruising,swelling,and pain,higher success rate of the second puncture and lower degree of comfort were found in experimental group.