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“拔针四步曲”在静脉输液拔针时的应用效果
作者:陶绪梅 吴明琴 
单位:南京脑科医院
关键词:静脉输液  “拔针四步曲”  效果评价 
分类号:
出版年·卷·期(页码):2015·43·第三期(381-382)
摘要:

目的 探讨“拔针四步曲”应用于临床静脉输液拔针时的效果。 方法 连续入组200例住院输液患者,其中100例次按“拔针四步曲” 规范操作作为实验组,另100例次按常规方法拔针作为对照组。观察两组拔针后出现穿刺处皮肤出血、皮下淤血不良反应的情况,判断“拔针四步曲”的使用效果。结果 实验组皮肤出血、皮下淤血的发生率分别为6%和16%,优于对照组的15%和26%,两组间差异有统计学意义(P <0.05) 。结论: 采用“拔针四步曲”拔针,明显减少穿刺皮肤出血和皮下淤血,保护静脉血管,值得在临床推广。

The effect of the method about four steps to pull out the needle applying to intravenous infusion in clinic // Tao Xumei, Wu minqin //( Department of Geriatric Neurology, Nanjing Brain Hospital, Nanjing Medical University, Nanjing 210029, China) Abstract: Objective To observe the effect of the method about four steps to pull out the needle applying to intravenous infusion in clinic.Methods 200 patients with intravenous infusion in hospital were randomly divided into the method about four steps to pull out the needle group and conventional method group. To observe the incidence of subcutaneous hemorrhage and ecchymosis after pulling out the needle in each group patients.Results The incidence of subcutaneous hemorrhage is 6% in four steps to pull out the needle method group is lower than 15% in conventional method group. And the incidence of subcutaneous ecchymosis is 16% in four steps to pull out the needle group is lower than 26% in conventional method group.Conclusion Applying the method about four steps to pull out the needle could significantly reduce the incidence of subcutaneous hemorrhage and ecchymosis and protect the veins.

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