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目的 探讨分析偏瘫患者采用不同部位逆向进行静脉穿刺的留针效果.方法 选取2016年7月～2017年12月我院神经内科收治的90例脑卒中偏瘫患者作为研究对象,采用随机数字表法将其分为A、B、C 三组,每组各30例,分别采取手背正向穿刺、手背逆向穿刺、前臂逆向穿刺的方法进行静脉穿刺.比较三组患者的一次穿刺成功率、留置72 h 达标率、穿刺部位的疼痛程度、患者满意度以及不良反应等情况.结果 B组患者的一次穿刺成功率高于C组,差异有统计学意义(P＜0.05),与A组比较,差异无统计学意义(P＞0.05);B组患者的留置72 h 达标率和患者满意度明显高于A、C组,不良反应发生率和穿刺部位的疼痛程度评分低于A、C组,差异有统计学意义(P＜0.05).结论 手背逆向静脉穿刺的成功率较高,留置时间长,不良反应少,能减轻穿刺的痛苦,从而提高患者满意度.“,”Objective To study the effect of needle retention in hemiplegic patients with different parts of venipuncture. Methods From July 2016 to December 2017,90 patients with stroke hemiplegia treated in the Department of Neurology of our hospital were selected as the subject.According to the random digital table method,they were divided into three groups:group A,B,C,with 30 cases in each group.The three groups underwent venipuncture by the methods of hand back forward puncture,hand back reverse puncture and forearm reverse puncture,respectively.The success rate of one puncture, 72 hours of indwelling,pain degree of puncture site,patient satisfaction and adverse reaction were compared among the three groups.Results The success rate of single puncture in group B was higher than that in group C,the difference was statistically significant (P＜0.05),but there was no significant difference between group B and group A (P＞0.05).The retention rate for 72 hours and the degree of satisfactionin in group B was significantly higher than that in group A and group C.The incidence of adverse reactions and the pain score of puncture site in group B was lower than that in group A and group C (P＜0.05).Conclusion The success rate of reverse vein puncture on the back of hand is high,the retention time is long,the adverse reaction is less,the pain of puncture can be reduced,and the satisfaction of patients can be improved.