刘华琼 陈才进 彭晓欣

【摘  要】目的：探讨2岁以下婴幼儿静脉输液拔针后不同按压方法的临床效果。 方法：将150例在门诊输液室行静脉输液的患儿随机分为对照组和实验组，实验组止血贴握持手式按压法，对照组常规按压方法。比较两组患儿出血率、淤血率、疼痛率。 结果：实验组止血贴握持手式按压法的出血率、淤血率、疼痛率明显低于对照组常规按压方法（p<0.01）。结论：止血贴持握手式按压法效果优于常规按压方法，值得临床推广。

【关键词】静脉输液;按压方法;效果

【中图分类号】R472      【文献标识码】B      【文章编号】1004-7484（2019）07-0305-02

【Abstract】objective：To explore the clinical effect of different pressuring methods on withdrawal of needle after intravenous injection for infants under 2 years old. Methods： 150 cases of infants who receiving intravenous injection in outpatient transfusion room were randomly divided into observation group and control group. In the observation group， the hemostatic stick holding hand pressure method was used on withdrawal of needle after intravenous injection， while In the control group， conventional pressure method was used. The bleeding rate， passive congestion rate and pain rate were compared between the two groups. Results：The bleeding rate， congestion rate and pain rate of the hemostatic stick holding hand pressure method in observation group were significantly lower than those of conventional pressure method in control group （p < 0.01）. Conclusion：The effect of the hemostatic stick holding hand pressure method is better than conventional pressure method， and worthy of clinical promotion.

【key words】intravenous injection; pressure method; effect

靜脉输液是临床上治疗患儿疾病重要的护理操作之一，门诊输液室经常遇上患儿在拔针时哭闹、用力挣扎致使针头脱落或按压点移位造成皮下出血、淤血，而引起被家属挨骂、投诉等等不满。不仅对患者造成了痛苦，还会增加再次静脉输液的难度，所以静脉输液结束后，在拔针时候对患者的静脉进行有效护理极为必要^[1]。如何解决患儿对拔针引起的恐惧、哭闹造成局部出血、淤血，一直是我们探讨的一个难题。我们经过几年的临床实践及研究探讨，发现2岁以下婴幼儿手背静脉输液拔针予止血贴持握手式按压法比常规按压方法效果好。现报道如下：

1 资料与方法

1.1一般资料  选取2018年3月至2019年2月，取在我院门诊输液室输液治疗2岁以下的婴幼儿150例不同拔针方法进行对照试验。男65例，女85例，年龄2月-2岁;肺炎16例，支气管炎82例，急性肠炎23例，缺血性脑病24例，其他5例。……