试论静脉抽血后减少皮下瘀血的方法与探讨.docVIP

精品论文 参考文献 试论静脉抽血后减少皮下瘀血的方法与探讨 第三军医大学西南医院健康管理中心 重庆 400038 【摘 要】目的：探讨减少静脉抽血患者抽血后皮下瘀血的方法。方法：纳入2015年3月至7月期间在我中心接受静脉抽血的1200例患者作为研究对象，采用奇偶数字法将1200例患者分成试验组和对照组，试验组患者抽血后保持伸肘姿势，采用一次直接压迫止血法进行止血。对照组患者抽血后保持屈肘姿势，采用替换压迫止血法进行止血，两组患者的压迫止血时间均为5min。对比两组患者静脉抽血后皮下瘀血的发生率。结果：试验组患者静脉抽血后的皮下瘀血发生率为8.3%，对我中心静脉抽血工作的满意度为95.9%，与对照组患者的24.3%和88.9%比较存在的差异具有统计学意义（x2=56.200；x2=64.451；P均lt;0.05）。结论：静脉抽血患者抽血后保持伸肘姿势，采用一次直接压迫止血法进行止血，可有效降低皮下瘀血的发生率。 【关键词】静脉抽血；皮下瘀血；方法；探讨 【Abstract】Objective：To investigate the reduction in blood of patients after intravenous blood ecchymosis approach.Methods：March 2015 to July period in center to received intravenous blood of 1200 patients for the study，used a digital method of parity 1200 cases were divided into experimental group and control groups，the experimental group of patients after blood holding elbow posture，used a direct method to stop bleeding hemostasis.After the blood of patients in the control group maintained elbow posture，use of an alternative hemostasis hemostasis method，two groups of patients hemostasis times are 5min.Venous blood after comparing two groups of patients，the incidence of subcutaneous congestion.Results：The experimental group were intravenous subcutaneous blood stasis after the rate was 8.3% in center phlebotomy job satisfaction was 95.9%，and 88.9% were compared with the presence of 24.3% of patients in the control group was statistically significance（x2=56.200；x2=64.451；Plt;0.05）.Conclusion：Patients with venous blood after blood holding elbow posture，using a direct method of hemostasis bleeding，can effectively reduce the incidence of bruising. 【Key words】Venous blood；subcutaneous congestion；method；Discussion 静脉抽血是临床检验患者体液的常规方法，多种疾病的临床诊断均需要抽取患者静脉血液进行生化分析[1]。长期临床观察发现，静脉抽血后，止血操作不当、体位姿势不当、压迫止血时间短等因素均会导致皮下瘀血的发生，不仅会增加患者机体痛苦，还易引起医疗纠纷[2]。基于上述现状，我中心本次研究对减少静脉抽血患者皮下瘀血的方法进行了探讨，以期能够为临床降低静脉抽血患者的皮下瘀血发生率带来参考借鉴价值，现将本次研究过程及结果做出以下整理报道。 1.资料与方法 1.1一般资料 本次研究从2015年3月至7月期间在我中心接受静脉抽血的患者中随机性抽取1200例作为研究对象。1200例患者均为无凝血功能障碍和血液系统疾病的患者，抽血静脉均为肘正中静