【摘要】 目的 为了解决CT增强患者拔针后穿刺点出血等问题,为推广使用一次性静脉留置针的护针套代替人工按压止血提供参考。方法 采用观察性自身对照研究方法 ,分析了167例2019年6月18日至2021年5月27日内行CT增强检查并在1～12个月内需要再次行CT增强检查患者相关信息,记录患者行CT增强第一次使用静脉留置针后保留穿刺点上方输液贴加人工按压止血的情况,后一次为患者拔出一次性使用静脉留置针后保留穿刺点上方输液贴加一次性静脉留置针的护针套(用3条3M网纹易撕胶带)固定代替人工按压止血情况。结果 采用留置针的护针套按压止血方法 未发生出血、按压后皮肤穿刺点及穿刺点周边无出现瘀斑、皮下血肿等情况,按压止血期间患者的活动不受限制;而常规方法 中有17例(10.2%)出现按压过程中皮肤穿刺点出血、 15例(9.0%)出现按压后穿刺点周边皮肤瘀斑,其中少量患者发生出血瘀斑及血肿,患者自觉按压期间影响拿物、更衣、上厕所等活动。结论 CT增强一次性静脉留置针护针套按压穿刺止血效果好,按压止血期间患者的活动不受限制,方法 简便,废物利用,减轻了护士的工作量,提高护士的工作效率和患者的舒适度。更多还原

【Abstract】 Objective In order to solve the problems of puncture point bleeding after needle extraction in patients with CT enhancement,it provides reference for promoting the use of the protective sheath of for the disposable intravenous indwelling needle instead of manual compression for hemostasis.Methods An observational selfcontrolled study was used to analyze the information of 167 patients who underwent enhanced CT examination from June 18,2019 to May 27,2021 and needed another enhanced CT examination within 1 to 12 months.Records of patients with CT enhanced retention after the intravenous indwelling needle puncture was used for the first time above infusion stick add artificial compression hemostasis.After pulling out the disposable intravenous indwelling needle for the patient,the infusion patch above the puncture point and the protective sheath for the disposable intravenous indwelling needle were retained(3 strips of 3M reticulated adhesive tape were used)for fixation instead of manual compression for hemostasis.ReultsThere was no bleeding,no ecchymosis and subcutaneous hematoma at the skin puncture point and its vicinity after the compression when the protective sheath for the intravenous indwelling needle was used for compression hemostasis,and the patient’s activities were not restricted during the compression hemostasis period.In the conventional method,17 cases(10.2%)showed bleeding at the skin puncture point during the compression process,and 15 cases(9.0%) showed petechiae around the skin puncture point after the compression.A small number of patients experienced bleeding petechiae and hematoma,and the patients felt that activities such as picking up objects,changing clothes and going to the toilet were affected during the compression.Conclusion The compression puncture hemostasis effect by the protective sheath for the disposable intravenous indwelling needle on CT enhancement is good,the patient’s activities are not restricted during the compression hemostasis period,the method is simple and waste is utilized,the workload of nurses is reduced and the work efficiency of nurses and patient comfort is improved.更多还原