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目的对比经桡动脉和股动脉采集脑出血患者的血气过程,并针对性总结其护理措施。方法选取2012年1月-2014年5月就诊的128例脑出血患者作为研究对象,随机分为桡动脉组和股动脉组各64例,由经验丰富的护士完成血气采集和护理工作,分别记录2组患者的穿刺情况、操作时间及穿刺点血肿例数。结果桡动脉组在首次成功率、二次成功率及总成功率上均高于股动脉组,且穿刺部位发生血肿率、准备时间、操作耗时、按压时间及总耗时上均低于股动脉组,差别均有统计学意义(P<0.05)。结论脑出血患者进行动脉血气采集时,桡动脉成功率高、操作时间短、血管损伤轻,可以优先选取桡动脉进行穿刺采血。
Objective To compare the blood gas process of patients with cerebral hemorrhage through the radial artery and femoral artery and summarize their nursing measures. Methods A total of 128 cerebral hemorrhage patients from January 2012 to May 2014 were selected and randomly divided into radial artery group and femoral artery group, each with 64 cases. Blood gas collection and nursing were performed by experienced nurses, and recorded separately 2 groups of patients puncture, operation time and puncture point hematoma cases. Results The radial artery group was higher than the femoral artery group in the first success rate, the second success rate and the total success rate, and the hematoma rate, preparation time, operation time, press time and total time were lower than those in the femoral artery Arterial group, the difference was statistically significant (P <0.05). Conclusions Cerebral hemorrhage in patients with arterial blood gas collection, the success rate of radial artery, short operating time, light vascular injury, the radial artery can be selected for puncture blood.