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陆军军医大学第一附属医院检验科,重庆,400038
纸质出版日期:2019,
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廖素英, 陈丽勤, 周悠红, 等. 基于解剖学基础的快速静脉穿刺技术临床研究[J]. 局解手术学杂志, 2019,(7):561.
LIAO Suying, CHEN Liqin, ZHOU Youhong, et al. Clinical research of rapid puncturing venipuncture based on anatomy[J]. null, 2019,(7):561.
目的 对比分析传统静脉穿刺进针法和快速静脉穿刺进针法,从解剖学角度寻找一种微创、无痛的静脉穿刺技术。方法 选择2016年1月至2018年12月在陆军军医大学第一附属医院门诊采血化验的患者1 786例,按照采血日期分为对照组(单日采血患者850例)和观察组(双日采血患者936例)。对照组患者采用教科书上传统的15°~20°角度从血管侧方进针静脉穿刺进行采血
观察组患者采用针尖斜面向左45°~60°角从血管上方快速静脉穿刺采血。观察比较2组患者进针速度、一针见血率、对组织的损伤程度及患者疼痛的感觉。结果 2组患者进针速度、对穿刺疼痛的感觉比较差异有统计学意义(P<0.05)。对照组患者采用传统静脉穿刺进针法不仅损伤皮肤、血管壁穿刺点
还对皮下组织造成隧道式损伤
而观察组患者采用快速静脉穿刺进针法只损伤皮肤及血管壁穿刺点,无隧道式损伤。对照组穿刺一针见血率为91.03%
观察组穿刺一针见血率为95.17%,2组比较差异有统计学意义(P<0.05)。结论 快速静脉穿刺与传统的静脉穿刺比较
进针速度快
患者疼痛轻
组织损伤少
可提高一次穿刺成功率。
Objective To explore a minimally invasive and painless venipuncture technique from the perspective of anatomy by compare and analyze the methods of traditional venipuncture needle and rapid venipuncture needle. Methods From January 2016 to December 2018
1 786 patients who received blood tests at the outpatient of the first affiliated hospital of army medical university were divided into the control group (Patient who collected blood on a single day
850 cases) and the observation group (Patient who collected blood on a doubleday blood
936 cases) according to the blood collection date.The patients in the control group used the traditional venipuncture needle from the lateral side of the blood vessel in angle of 15° to 20° in the text book for blood collection.The patients in the observation group used a rapid venipuncture from the upper side of the blood vessel with a needle tip obliquely facing the left 45° to 60° for blood collection.The needle insertion rates
the bleeding rates of one needle
the degrees of injury to the tissue and the pain of the patients between the two groups were observed. Results There was a significant difference between the two groups in needle insertion speed and the patient′s perception of puncture pain(P<0.05).The control group adopted traditional venipuncture with injuring the puncture site of the skin and blood vessel wall and a tunnellike injury to the subcutaneous tissue.While rapid venipuncture needle adopted by the patients of observation group only damaged the skin and blood vessel wall puncture point but no tunnellike injury.The bleeding rates of one needle was 91.03% in the control group and 95.17% in the observation group
there was a significant difference between the two groups (P<0.05). Conclusion Compared with the traditional venipuncture
the rapid venipuncture has a fast needle insertion speed
which reduces the pain and the tissue damage of the patients
the success rate of one puncture is improved.
静脉穿刺技术进针角度疼痛组织损伤
venipuncture techniqueneedle anglepaintissue damage
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