| 摘要: |
| ［摘要］目的 探讨单手留置针穿刺技术在儿科临床护理中的应用效果．方法 将云南省第三人民医院儿科2015年3月至2015年9月采用留置针输液患儿578例，随机将289例作为实验组，实施单手留置针操作，将289例作为对照组，采用传统穿刺方法．比较2组的应用效果．结果 实验组与对照组在一次性穿刺成功率、舒适度、疼痛感、留置针脱落、静脉炎、药物外渗、留置时间等方面进行对比，差异有统计学意义（P＜0.05）．结论 儿科留置针使用过程中，使用单手留置针穿刺方法能提高静脉留置针一次性穿刺成功率、提高患儿舒适度，减轻疼痛感；减低留置针脱落、静脉炎及药物外渗的发生率，并且可以延长留置时间．该穿刺操作简便易行、易学、无需特殊的设施设备，只需静脉穿刺所需用物，外加24G留置针，无菌透明3M留置针敷贴及纸胶布，经济实用，适宜在临床中推广应用． |
| 关键词: ［关键词］静脉留置针 单手穿刺方法 应用效果 |
| DOI： |
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| 基金项目:［基金项目］云南省科技厅青年基金项目(201501YH00132). |
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| The Application of the Puncture Method of Indwelling Needle by Single Hand in Puncture Technique of Pediatrics |
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ZHOU Yu-e
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（Dept. of Pediatrics，The Third People’s Hospital of Yunnan Province，Kunming Yunnan 650011，China）
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| Abstract: |
| ［Abstract］Objective To investigate the application effect of the puncture method of indwelling needle by single hand in clinical attendance of pediatrics. Methods From March 2015 to September 2015， 578 patients in our pediatrics were randomly and equally divided into two groups. The experiment group were treated with the puncture method of indwelling needle by single hand and the control group received traditional puncturing method. Results There were statistical significances in the success rate of first puncture，degree of comfort， sense of pain， dropping of the indwelling needle，phlebitis，exosmosis of drugs and indwelling time of patients between the two groups（P < 0.05）. Conclusion In the process of using indwelling needle in pediatrics， the application of the puncture method of indwelling needle by single hand could improve the success rate of first puncture of venous retention needle，enhance the comfort degree of neonates，relieve the sense of pain， reduce the dropping of the indwelling needle，incidence of phlebitis and exosmosis of drugs，and prolong the indwelling time. The operation of this puncture is simple and easy to do and to learn，without any special equipment. In the venous puncture， the only necessities are 24G retention needle，3M indwelling needle and adhesive tape. Obviously，it is economical and practical， and is suitable for application in clinic. |
| Key words: ［Key words］Venous indwelling needle Puncture method by single hand Application effect |