对静脉穿刺进针角度的研究.docVIP

对静脉穿刺进针角度的研究 摘要 目的：在实习过程中发现在进行静脉穿刺时，不同的进针角度病人的疼痛感也不一样。通过对静脉穿刺进针角度的研究，认为静脉穿刺进针角度以进针时与皮肤成45°~60°角为宜，既不影响穿刺成功率，又可使病人疼痛感明显减轻。 方法：选择住院接受静脉输液意识清晰、能正确表达、准确配合的患者280例,随机分为观察组和对照组,其中男156例,女124例,年龄在20～68岁。实验组及对照组均由作者本人操作，观察组静脉穿刺与皮肤成45°～60°角进针穿过皮肤，对照组以除针头与皮肤成15°～30°角进针，除进针角度不同之外，其余操作实验组与对照组都相同。 结果：观察组静脉穿刺与皮肤成45°～60°角进针，病人疼痛反应轻，其中微痛98例次，一般疼痛30例次，剧痛12例次。微痛率占70％。对照组以与皮肤成15°～30°角进针，疼痛反应明显，其中微痛44例次，一般疼痛62例次，剧痛34例次.其无痛率占31.43％.无痛与一般疼痛之间X2=42.19，P0.01，存在显著性差异，观察组的穿刺成功率为96.4％，对照组是92.1％。患者通过简式McGill疼痛量表所打分值，在0~～13分的观察组为96人，对照组为40人。11～23分的观察组为30人，对照组为68人，24～~37分观察组为14人，对照组32人。 结论：实验表明，静脉穿刺进针角度以进针时与皮肤成45°～60°角时病人的疼痛感明显减轻，且成功率也不受影响。 关键词：静脉穿刺 穿刺角度 疼痛 Abstract Objective: Found during the internship during the venipuncture, the needle point of the different pain patients are not the same. The angle of the vein through the needle into the study, that the angle of vein puncture needle into the needle with the skin into 45 °～60 ° angle is appropriate will not affect the success rate. Methods: Choose patients with 280 cases were randomly divided into two groups and the control group, 156 patients were male, female 124 cases, aged 20 to 68 years. Experimental group and control group operating by the author and the observation group venipuncture and skin into 45 °～ 60 ° angle of the needle through the skin, the control group than the needle and the skin into 15 °～30 ° angle into the pin, in addition to the needle different point of view, the other operating the experimental group and control group are the same. Results: Observation group venipuncture and skin into 45 °～60 ° angle into the needle, Slight pain rate of 70%. Control group with the skin into 15 °～30 ° angle into the needle, Slight pain rate of 31.43% of its pain-free rate. painless and general Between pain X2 = 42.19, P 0.01, Successful puncture the observation group was 96.4% in the control group was 92.1%。Patients through the short form of the McGill Pain Questionnaire score values ??from 0 to 13 points in the observation group and 9