西安交通大學(xué)護理本科畢業(yè)論文急性腦梗死藥物治療患者橈動脈采血按壓時間比較(文件)
【正文】 ts with drug treatment after radial arterial blood sampling Speciality: Appllicant: Jing Han Supervisor: Fang ABSTRACT Objective: To investigate the best press time to hemostasis of cerebral infarction patients with medication after radial artery blood. Methods:All the 210 casas were from the hospitalized patients of Neurology in our hospital,diagnosed cerebral infarction by CT or MRL,all of them were average divided into three groups of ABC by admission time,each group of 70 of them conventional oral aspirin and (or) clopidogrel after next day arterial punctured for blood collection,them three groups of patients respectively oppressed 5min, 10min, 15min with sterile contton pressing parts from the eye of a needle to about 3cm extended by the eye of a needle direction of the vessel wall .Press the cotton swab with the whole index finger,middle finger, ring finger do not let go or rub. Results： There were 18 cases of local bleeding after pressing in A group (％ )， 4cases in B group (％ )， 3cases in Cgroup (％ ).Compare 5 the therr groups there are significant differences (P＜ ). There are significant differences between the two groups of A and B(P＜ )， also between the two groups of A and C (P＜ ) .there are no significant differences between the two groups of B and C(P＞ ). Conclusion: For patients with cerebral infarction, press 10min is the best time to effective hemostasis after radial arterial blood sampling,while taking aspirin, clopidogrel and other antiplatelet medication. KEYWORDS: Acute cerebral infarction。在日常臨床工作，血氣分析多采用橈動脈采血法來進行標(biāo)本的采集。由于腦梗死患者，治療常需口服阿司匹林、氯吡格雷等抗血小板聚集藥物，甚至加用抗凝藥物治療，加之患者年齡較大，血管脆性較高，動脈壓力大，橈動脈采血后發(fā)生局部血腫的概率增加。蔣冬芳采用自制重量不同德沙袋，根據(jù)病人的體型，選擇適宜重量的砂袋，外套 1 個布袋，一人一換，壓迫覆蓋在穿刺點的無菌紗布 5min即可。但如果按壓時間過長，無益于患者的舒適，加重患者痛苦的同時也在一定程度上增加了護理工作量。 橈動脈采血 :通過橈動脈采集動脈血的方法稱橈動脈采血，是臨床常見的采集動脈血的方法。按入院時間先后分為 ABC 三組，每組 70例。所有操作均由本科高年資（工作 5 年以上）、具有較強穿刺技能的護師完成。 40 30 不同按壓時間三組出血率比較 三組均一次穿刺成功。同時操作時暴露皮膚少，容易取得患者的配合 [4]。 在穿刺采血成功后，穿刺部位局部出血主要與血管損傷、患者的凝血機制和穿刺后按壓時間有關(guān)。本研究結(jié)果表明，按壓 10min 及 15min 的出血發(fā)生率與按壓 5min 時差異均具有
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