留置针两种不同部位穿刺的探讨

论文编号:HL020  论文字数:5499.页数:13

论文题目：住院患儿静脉留置针两种留置部位的效果探讨

摘　要
目的：探讨小儿住院病人手背静脉与前臂静脉的静脉留置针留置效果，为临床正确选择留置部位提供依据。方法：选择静脉留置针病人205例，随机分为实验组（前臂穿刺）107例，对照组（手背穿刺）98例，从留置时间、留置并发症的发生率、病人接受程度三方面比较两种穿刺部位的留置效果。结果静脉留置针前臂穿刺与手背穿刺在留置时间（t=2.12,p<0.05）、并发症的发生率(u=3.35、p<0.01)患者的接受程度（X2  =5.34，P＜0.05）方面均有显著差异，具有统计学意义,留置针前臂静脉穿刺与手背穿刺相比，留置时间长、留置针并发症发生率低、病人易接受。结论：留置针前臂静脉穿刺与手背穿刺相比，具有留置时间长、留置针并发症发生率低、病人易接受等优点。前臂静脉留置针留置效果好于手背静脉，是静脉留置针的较适宜穿刺留置部位。
[关键词]：静脉留置   穿刺部位   效果
 
论文类型：. C.应用研究
 
  Title: Effectiveness of hospitalized children with two kinds of indwelling intravenous catheter site
ABSTRACT
Objective: To investigate the back of the hand and forearm vein intravenous indwelling intravenous catheter system in effect, the right choice for clinical sites provide the basis for detention. Methods: The use of intravenous catheter system of the 205 cases of patients were randomly divided into experimental group (forearm puncture) 107cases, the control group (the back of the hand puncture) of 98 cases,  From the retention time, the incidence of catheter complicationsand patient acceptanceof three areas of comparison between the two puncture site retention effect.Results: From the retention time（t=2.12,p<0.05）, the incidence of complications u=3.35、p<0.01)  and patient acceptability （X2  =5.34，P＜0.05）of the three areas, intravenous catheter system in the forearm and the  back of the hand puncture are significant differences, with statistical significance.Conclusion: The forearm indwelling intravenous catheter system better than the back of the hand vein, intravenous catheter system should be the most appropriate site of puncture.
Key words: Intravenous Indwelling Needle: puncture site: results.

目  录
1 前言 1
2 方法 2
2.1研究对象 2
2.2留置针型号的选择 2
 2.3血管的选择 2
 2.4穿刺方法 2
  2.5静脉炎评价标准 2
  2.6质量控制 2
  2.7统计方法 3
3 结果 4
3.1穿刺部位对留置时间的影响 
 4
3.2患者对不同穿刺部位的接受程度
 4
3.3不同穿刺部位静脉留置并发症发生率的比较
 4
4 讨论 5
4.1实验组与对照组留置时间有显著差异 5
4.2实验组与对照组肿胀阳性率和发生静脉炎阳性率有显著差异 5
5 结论与展望 6
6致    谢 7
7参考文献 8