摘要
目的分析单手送管法在急诊患儿静脉留置针穿刺中的应用效果。方法回顾性分析2016年6月至2017年3月本院急诊科收治的患儿430例,按照静脉留置针穿刺方法的不同分为单手送管组和双手送管组。比较两组患儿的首次穿刺成功率、穿刺时间、留置针留置时间、并发症发生率、治疗依从性、抢救成功率以及纠纷发生率。结果单手送管组患儿首次穿刺成功率、穿刺时间、并发症发生率、治疗依从性、抢救成功率以及纠纷发生率与双手送管组患儿比较,差异均有统计学意义(P<0.05)。留置针留置时间两组之间差异无统计学意义(P>0.05)。结论静脉留置针单手送管法优于双手送管法,能够提高首次穿刺成功率、抢救成功率、降低并发症发生率和纠纷发生率,值得在临床治疗中进行应用和推广。
Objective To analysis the applicable effect of single hand delivery in the venous insert ed needle puncture for children in emergency department. Methods The clinical data of 430 chii dren from emergency department of our hospital from June 201G to March 2017 were collected and analyzed. The children were divided into the single hand delivery group and two-hand delivery group according to the method of venous inserted needle puncture. The successful rate of first time puncture, time of puncture, indwelling time, incidence of complication, treatment compli ance, and successful rate of rescue and incidence of disputes were compared between the two groups. Results The differences of successful rate of first time puncture, time of puncture, inci dence of complication, treatment compliance, successful rate rescue and incidence of disputes be tween the two groups were statistically significant （P〈0.05）. The difference of indwelling time between the two groups was not statistically significant （P〉0.05）. Conclusion The single handdelivery was better than the two hand delivery for children in emergency department. The single hand delivery method can improve the successful rate of first time puncture, the successful rate rescue, and decrease the incidence of complications and disputes. It is helpful for children to co operate with the treatment and promote the recovery of children and worth for clinical application and promotion.
作者
杜洁
DU Jie(Emergency Department of Children＇s Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan 450000,China)
出处
《青岛医药卫生》
2018年第5期345-348,共4页
Qingdao Medical Journal
关键词
单手送管法
双手送管法
静脉留置针穿刺
急诊患儿
Single- hand delivery
Two hand delivery
Venous inserted needle puncture
Childrenin emergency department
