摘要
目的探讨无源压脉止血贴在ICU危重患者静脉采血中的应用效果。方法选取2017年11月—2018年1月入住ICU的90例患者为研究对象。按随机数字表法分为无源压脉止血贴组(止血贴组)、干棉签组和输液胶贴组,各30例。分别于静脉采血后使用无源压脉止血贴、无菌干棉签、输液胶贴压迫止血,比较3组穿刺点出血和皮下淤血的发生率。结果 3组穿刺点出血发生率差异有统计学意义(χ~2=6. 477,P=0. 039),止血贴组穿刺点出血发生率低于干棉签组及输液胶贴组(χ~2=4. 812、5. 963,P=0. 028、0. 015)。3组皮下淤血总发生率差异有统计学意义(χ~2=7. 917,P=0. 019),止血贴组皮下淤血总发生率低于干棉签组及输液胶贴组(χ~2=6. 405、7. 680,P=0. 011、0. 006)。结论采用无源压脉止血贴进行静脉采血后压迫止血,能有效防止穿刺部位出血、瘀血,有效提高了护士工作效率。
Objective To investigate the passive hemostasis sticking plaster in venous blood collection for critically ill patients. Methods Totally 90 critically ill patients in ICU were ran- domly divided into three groups according to different hemostasis methods after venous blood col- lection （hemostasis sticking plaster group, cotton swab group, glue plaster group, n = 30 in each group）. The incidences of hemorrhage at puncture site and subcutaneous ecchymosis were com- pared among three groups. Results There was a significant difference in the incidences of punc- ture site hemorrhage among three groups （χ2= 6. 477, P = 0. 039） , and the incidences of puncture site hemorrhage was lower in the hemostasis sticking plaster group than that in other two groups （χ2= 4. 812,5. 963 ,P = 0. 028,0. 015 ）. There was a significant diffmence in the incidence of subcuta- neous ecchymosis among three groups （χ2=7. 917 ,P =0. 019） , and the incidence of subcutaneous ecchymosis was lower in the hemostasis sticking plaster group than that in other two groups （χ2= 6. 405,7. 680,P = 0.011,0. 006）. Conclusion The passive hemostasis sticking plaster is effec- tive to prevent the hemorrhage at puncture site and subcutaneous ecchymosis of patients after ve- nous blood collection. It can also improve the working efficiency of nurses.
作者
徐元元
史广玲
XU Yuanyuan;SHI Guangling(ICU,Nanjing Brain Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu,210029)
出处
《中西医结合护理（中英文）》
2018年第9期126-128,共3页
Journal of Clinical Nursing in Practice
关键词
静脉采血
无源压脉止血贴
输液贴
压迫止血
重症监护病房
venous blood collection
passive hemostasis sticking plaster
hemostasis by compression
ICU
