摘要目的 探讨Y型静脉留置针应用于临床上不合作手术患者穿刺置管的方法.方法 将拟行急诊手术烦躁、不合作的患者100名,随机分为观察组和对照组每组50名,穿刺成功后观察组左手仍固定肢体和绷紧穿刺部位的皮肤,右手单手退针芯置外套管,而对照组采用传统的双手协作退针置管法,比较两组成功置管率、意外拔针率和退针发生针刺伤率.结果 观察组Y型静脉留置针穿刺置管单手操作成功率明显高于对照组,针刺伤率和意外拔针率明显低于对照组(P<0.05).结论 临床应用此方法提高了成功置管机会,减少了针刺伤和意外拔针的发生.

abstractsObjective To discuss the catheterization methods of Y -type intravenous catheter system on the non -cooperation patients. Methods 100 agitated, non -cooperation were randomly divided into observation and control groups. In observation group, after puncturing succeasfully, the left hand was still in the tension fixed physical location of the puncture the skin, the fight hand backed home jacket core needle tube, and in control group, the traditional collaboration two hands were used to back needle catheter. The rate of success, accidents and the occurrence rate of acupuncture needle back injury were compared. Results The success rate of observa-tion group was increased and the accident rate and the occurrence rate of acupuncture needle back injury were de-creased in observation group than those in control group (P < 0. 05) . Conclusions The clinical application of this method increases the opportunities for success of the tube, and reduce the incidence of needle stick injuries.