目的：改良小儿足部静脉输液的固定方法，提高患儿舒适度，减少液体渗漏、多次穿刺，使输液治疗顺利完成。方法将需要在足背部进行静脉输液的1~4岁患儿100例，随机分成两组，实验组和对照组，各50例。实验组患儿在足背部进行静脉穿刺成功后运用足型石膏模进行足部固定，完成静脉输液治疗；对照组患儿则运用传统的直硬板进行足部固定，两组患儿进行效果观察比较。结果实验组患儿进行足部静脉输液时，液体渗漏、自行拔针、重复穿刺等不良情况明显少于对照组。结论运用足型石膏模进行小儿足背部的输液固定，能增加患儿舒适度，强化固定效果，避免重复多次的静脉穿刺，减少患儿痛苦，提高患儿家属的满意度，降低护士工作量。%Objective This study by the improvement of fixed mode of foot venous transfusion to children, to improve their comfort level, reduce accidents of leakage of liquid, repeated the number of puncture, to make the infusion therapy complete. Method Make 1-4 years old children with 100 who need for intravenous infusion on the dorsum of foot randomly divided into two groups, experimental group and control group, 50 cases in each. The experimental group with the vein punctures success on the dorsum of foot by foot after the plaster mold foot fixed, complete the intravenous infusion therapy. Patients in the control group used traditional straight board foot fixed. Observe and compare the results of these two groups. Result Liquid leakage, pulling needles, repeated puncture and other adverse conditions of the experimental group for foot venous transfusion were significantly less than the control group. Conclusion The infusion of pediatric foot back fixed by foot plaster mold, can increase the comfort level, strengthen the fixed effect, avoid repeated puncture times, reduce the pain of patients, improve the patients' satisfaction, reduce the workload of nurses.
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