临产产妇不同部位静脉留置针穿刺的效果比较(1)
[摘要]目的 探讨临产产妇不同部位静脉留置针穿刺的效果，分析手臂静脉留置针穿刺在临产产妇中的应用价值。方法 选取2016年3月～2017年1月我院收治的需要实施静脉留置针穿刺给药的370例临产产妇作为研究对象，按照简单随机化法分为观察组(185例)和参照组(185例)。观察组临产产妇给予经前臂静脉留置针穿刺，参照组临产产妇选用经手背静脉留置针穿刺。对比分析两组产妇的一次性穿刺成功率、手部活动状态、输液通畅情况、心理状态及舒适度评分。结果 观察组产妇的一次性穿刺成功率、手部活動状态良好率、输液通畅率及经阴道分娩率分别为98.38%、96.76%、98.92及88.65%，均高于参照组的86.49%、82.16%、88.65%及80.00%，差异有统计学意义(P<0.05)。观察组产妇的焦虑和抑郁评分明显低于参照组，舒适度评分远高于参照组，差异有统计学意义(P<0.05)。结论 经手臂静脉留置针穿刺相较于经手背静脉留置针穿刺在临产产妇中具有明显的优势，提高了穿刺的成功率和产妇的舒适度，减少了产妇的焦虑感，缓解了医患矛盾，值得临床推广应用。
[关键词]临产产妇；静脉留置针；穿刺；效果
[中图分类号] R725.4 [文献标识码] A [文章编号] 1674-4721(2017)11(b)-0074-03
[Abstract]Objective To investigate comparing the effect of intravenous indwelling needle puncture in different parts of parturient women and to analyze the application value of arm vein indwelling needle puncture in parturient women.Methods 370 cases of parturient women who treated in our hospital for the implementation of intravenous indwelling needle puncture drug delivery from March 2016 to January 2017 were selected as research objects.The patients were divided into observation group (185 cases) and reference group (185 cases) according to the simple randomization method.The observation group was given intravenous puncture needle through forearm vein，and the reference group was treated with dorsal vein indwelling needle puncture.The one-time puncture success rate，hand movement status，transfusion patency，psychological status and comfort score of the two groups were compared and analyzed.Results The one-time puncture success rate，hand movement status，transfusion patency and vaginal delivery rate in observation group were respectively 98.38%，96.76%，98.92 and 88.65%，which were respectively 86.49%，82.16%，88.65% and 80.00% in reference group，and the differences were statistically significant (P<0.05).The anxiety and depression score of the observation group were significantly lower than those of the reference group，the comfort score of the observation group was much higher than that of the reference group，and the differences were statistically significant (P<0.05).Conclusion Compared with dorsal vein indwelling needle puncture，hand vein indwelling needle puncture has obvious advantages in parturient women，which improve the success rate of puncture and maternal comfort，reduce maternal anxiety，ease the contradiction between doctors and patients，and is worth popularizing in clinical.
[Key words]Parturient women；Intravenous indwelling needle；Puncture；Effect
静脉留置针作为近年来备受推崇的临床输液方法，因其操作简，适用范围广，不仅能有效减少患者反复穿刺的痛苦，同时还能减轻医护人员的工作量，已然成为当前患者临床输液的首选[1]。临产产妇由于需要忍受宫缩痛，极易产生躁动不安的情绪，很多时候难以自控，致使输液针头脱落，堵塞或扯动输液胶管，经常需要反复穿刺，这就加大了产妇的痛苦。此外输液不畅有时也会对产妇和胎儿产生不良影响[2-5]。本研究选取我院收治的需要实施静脉留置针穿刺给药的370例临产产妇作为研究对象，对比分析前臂静脉留置针穿刺和经手背静脉留置针穿刺在临产产妇中的应用效果，现报道如下。, 百拇医药(舒雯超 赵玉婷 童智洪)
[关键词]临产产妇；静脉留置针；穿刺；效果
[中图分类号] R725.4 [文献标识码] A [文章编号] 1674-4721(2017)11(b)-0074-03
[Abstract]Objective To investigate comparing the effect of intravenous indwelling needle puncture in different parts of parturient women and to analyze the application value of arm vein indwelling needle puncture in parturient women.Methods 370 cases of parturient women who treated in our hospital for the implementation of intravenous indwelling needle puncture drug delivery from March 2016 to January 2017 were selected as research objects.The patients were divided into observation group (185 cases) and reference group (185 cases) according to the simple randomization method.The observation group was given intravenous puncture needle through forearm vein，and the reference group was treated with dorsal vein indwelling needle puncture.The one-time puncture success rate，hand movement status，transfusion patency，psychological status and comfort score of the two groups were compared and analyzed.Results The one-time puncture success rate，hand movement status，transfusion patency and vaginal delivery rate in observation group were respectively 98.38%，96.76%，98.92 and 88.65%，which were respectively 86.49%，82.16%，88.65% and 80.00% in reference group，and the differences were statistically significant (P<0.05).The anxiety and depression score of the observation group were significantly lower than those of the reference group，the comfort score of the observation group was much higher than that of the reference group，and the differences were statistically significant (P<0.05).Conclusion Compared with dorsal vein indwelling needle puncture，hand vein indwelling needle puncture has obvious advantages in parturient women，which improve the success rate of puncture and maternal comfort，reduce maternal anxiety，ease the contradiction between doctors and patients，and is worth popularizing in clinical.
[Key words]Parturient women；Intravenous indwelling needle；Puncture；Effect
静脉留置针作为近年来备受推崇的临床输液方法，因其操作简，适用范围广，不仅能有效减少患者反复穿刺的痛苦，同时还能减轻医护人员的工作量，已然成为当前患者临床输液的首选[1]。临产产妇由于需要忍受宫缩痛，极易产生躁动不安的情绪，很多时候难以自控，致使输液针头脱落，堵塞或扯动输液胶管，经常需要反复穿刺，这就加大了产妇的痛苦。此外输液不畅有时也会对产妇和胎儿产生不良影响[2-5]。本研究选取我院收治的需要实施静脉留置针穿刺给药的370例临产产妇作为研究对象，对比分析前臂静脉留置针穿刺和经手背静脉留置针穿刺在临产产妇中的应用效果，现报道如下。, 百拇医药(舒雯超 赵玉婷 童智洪)