Improved puncture puncture in elderly patients of the difficulties.docVIP

 PAGE \* MERGEFORMAT 8 Improved puncture puncture in elderly patients of the difficulties Of: Daifeng Yan, Lin Kwan-chung Chen Xuerong [Abstract] Objective To improve elderly patients with venous puncture puncture difficult time success rate. Methods Using self-control method, 15 cases were difficult to puncture, do not use the catheter, continuous infusion 15 d, ie 225 cases times, using different methods according to odd and even days for venipuncture. Doubleday, hot water bottle using the traditional method that is forward partial puncture tapping a single day using the modified method is the use of reverse puncture and blood pressure cuff pressure method. Comparison of two methods superficial venous filling degree and a one-time success rate . The results improved filling of superficial vein puncture method was better than the traditional method (Hc = 16.36, P lt;0.01, the filling a good rate (83.9%) and one-time success rate (96.4%) always make significantly higher than traditional method ( were 59.3% and 87.7%, P lt;0.05. Conclusion reverse pressurization cuff puncture and blood pressure can increase the difficulty in elderly patients with venous puncture needle time success rate. [Keywords:] blood pressure pneumatic compression, intravenous infusion, reverse puncture Part of the chronically ill elderly patients treated by repeated venipuncture, vascular aging, hard, brittle, smooth, vascular lumen, filling degree of poor, especially in cold, vasoconstriction, traditional methods can not be a one-time successful puncture. To this end we use the sphygmomanometer pneumatic compression downstream reverse dorsal hand vein puncture (modified puncture to blood vessel filling fast, one-time success rate increase, reduce patient pain, achieved good results are reported below. 1 Data and methods 1.1 General Information July-December 2008 in our department for the infusion of Shubai Li retired cadres of the most difficult patients in 15 selecte