ABSTRACT
Objective@#To evaluate peripheral vein puncture assisted with Eyes-On vascular imaging glasses in vulneralis shock.@*Methods@#Between February 2017 and June 2018, 110 patients in vulneralis shock were distributed to treatment group, and 128 patients between January 2016 and January 2017 were distributed to control group. Peripheral vein puncture were underwent in treatment group assisted with Eyes-On vascular imaging glasses, and with traditional operation in control group. Successful rate of first puncture, second puncture, puncture more than three times, and failure rate, operating time, rate of complications were recorded.@*Results@#Successful rate of first puncture in treatment group and control group were 97.03% (98/101) and 9.38% (12/128). There was significant difference between two groups (χ2=173.771, P=0.001). Operating time of treatment group and control group were (1.16±0.41), (5.01±1.03) min, there was significant difference between two groups (t=7.693, P<0.01). In the observation group, puncture was successful while in the control group, puncture failed in 5 cases, with a failure rate of 3.91%(5/128). And there was no significant difference in failure rate of puncture (P >0.05). Regard as complications, there were no significant differences in leakage and bleeding (P>0.05), but there were significant differences in blockage and hematoma which were 5.94%(6/101), 1.98%(1/101) and 21.09%(27/128), 11.71%(15/128)(χ2=10.510, 7.791, P<0.01).@*Conclusion@#Eyes-On vascular imaging glasses can operated easily and vein imaging directly, and nurses can independently proceed puncture quickly and effectively in vulneralis shock. Eyes-On glasses is a recommended device.
ABSTRACT
Objective To evaluate peripheral vein puncture assisted with Eyes-On vascular imaging glasses in vulneralis shock. Methods Between February 2017 and June 2018, 110 patients in vulneralis shock were distributed to treatment group, and 128 patients between January 2016 and January 2017 were distributed to control group. Peripheral vein puncture were underwent in treatment group assisted with Eyes-On vascular imaging glasses, and with traditional operation in control group. Successful rate of first puncture, second puncture, puncture more than three times, and failure rate, operating time, rate of complications were recorded. Results Successful rate of first puncture in treatment group and control group were 97.03% (98/101) and 9.38% (12/128). There was significant difference between two groups (χ2=173.771, P=0.001). Operating time of treatment group and control group were (1.16 ± 0.41), (5.01±1.03) min, there was significant difference between two groups (t=7.693, P<0.01). In the observation group, puncture was successful while in the control group, puncture failed in 5 cases, with a failure rate of 3.91% (5/128). And there was no significant difference in failure rate of puncture (P >0.05). Regard as complications, there were no significant differences in leakage and bleeding (P>0.05), but there were significant differences in blockage and hematoma which were 5.94% (6/101), 1.98% (1/101) and 21.09% (27/128), 11.71% (15/128) ( χ2=10.510, 7.791, P<0.01). Conclusion Eyes-On vascular imaging glasses can operated easily and vein imaging directly, and nurses can independently proceed puncture quickly and effectively in vulneralis shock. Eyes-On glasses is a recommended device.
ABSTRACT
Objective To investigate the relationship between plasma albumin and hemoglobin(Hb) levels and prognosis in patients with severe craniocerebral trauma. Methods The clinical data of 124 patients with severe craniocerebral trauma form January 2010 to January 2014 were analyzed retrospectively. The relationship between plasma albumin and Hb levels and prognosis were analyzed. Hb level was obtained in 3 days of admission, and then the patients were divided into Hb 110 g/L group, and also were albumin 31 g/L group according to the mean albumin level. Multifactor Logistic regression analysis was used to analyze the relationship between Hb, albumin levels and prognosis. Results Among 124 patients, 37 patients (29.8%) were given red blood cell (RBC) transfusion, and 28 patients (22.6%) received albumin treatment. The hospital mortality was 20.2% (25/124). The age, scores of Glasgow Coma Scale (GCS) and Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ ), and hospital mortality in different Hb level groups had no significant differences (P>0.05). The age, scores of GCS score and APACHEⅡ score in different albumin level groups had no significant differences (P>0.05), but the hospital mortality in different albumin level groups had significant difference: 31.2%(10/32), 24.2%(8/33), 9.7%(3/31), 14.3%(4/28), P31 g/L group than that in albumin 29-31 g/L group. Conclusions 29-31 g/L albumin level is the best for severe craniocerebral trauma patients. There is no significant impact of Hb on the prognosis for severe craniocerebral trauma patients.