评述5.5号头皮针在门诊患者静脉输液中的应用

摘要

Most of the transfusion adult outpatients are old people with chronic disease, and theirsmall blood vessels become less elastic with age. They need long course and repeated localised puncture site. On the base of that fact, the author describes the 5.5gauge scalp acupuncture and 7 gauge scalp acupuncture about their use on the patients. The 5.5 gauge scalp acupuncture is smaller and shorter, so it has the advantage of high success ratio and it is easier to be fixed. Additionally, the transfusion speed is easy to be controlled, which reduces the ratios of transfusion reaction and adverse drug reactions. The pinhole is small and can be healed faster. The congestion around the puncture location is less than that of the 7 scalp acupuncture. It can alleviate the pain for patients and increase satisfaction. To sum up, the 5.5 gauge scalp acupuncture should be used widely as we allocate“people oriented”and“All for the patients”.%根据门诊成人输液患者中以中老年慢性病居多，其手背血管弯曲细小、弹性差、且病程长需反复穿刺以及输液量少等特点；采用文献分析方法并总结临床实践，对5.5号头皮针和7号头皮针用于门诊患者静脉输液进行了技术评估。鉴于5.5号头皮针针尖针梗短细，其临床使用优势为：①一针穿刺成功率高，且易于固定；②输液滴速控制理想，减少了输液反应和药物不良反应发生率；③针眼小穿刺点皮肤血管愈合快，穿刺点周围淤血明显少于7号头皮针；④患者疼痛减轻，满意度提高。因此，在倡导“以人为本”、“一切为患者着想”的优质护理服务活动中，5.5号头皮针在门诊成人静脉输液中值得广泛使用。