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目的探讨体检静脉采血过程中出现晕针的常见原因及护理对策。方法回顾性分析2011年1月至2014年1月于我院体检中心行体检静脉采血过程中出现晕针患者55例,分析患者出现晕针的时间、主要症状及体征,晕针出现时意识障碍时间以及意识恢复时间。结果 19例患者采血结束后5~10 s出现晕针现象,12例出现在采血结束后30 s至2 min,11例出现在采血结束后3~5 min,13例出现在采血结束后6~8 min;患者意识丧失出现在采血结束后5 s至6 min,意识均在3~5 min内恢复;55例晕针患者中,出现头面部血肿1例,癫发作1例,外伤2例。结论掌握健康体检中心采血晕针的常见原因,加强采血过程中的护理工作,可降低晕针的发生率,提高门诊护理工作的满意度。
Objective To investigate the common causes and nursing strategies of fainting during physical examination. Methods A retrospective analysis of 55 patients with fainting during physical examination in our hospital from January 2011 to January 2014 was performed. The duration of fainting, the main symptoms and signs, the disturbance of consciousness Time and awareness recovery time. Results Fourteen patients had fainting 5 to 10 seconds after the end of blood sampling, 12 cases occurred 30 seconds to 2 minutes after the end of blood sampling, 11 cases occurred 3 to 5 minutes after the end of blood sampling, and 13 cases appeared after 6 ~ 8 min. Patients’ loss of consciousness occurred within 5 s to 6 min after the end of blood sampling, and consciousness recovered within 3 to 5 min. Among the 55 patients with fainted needle, one showed hematoma of the head and face, one was epileptic and two were trauma. Conclusion To master the common causes of blood collection for fainting in healthy physical examination center and to strengthen the nursing work in the process of collecting blood can reduce the incidence of fainting needle and improve the satisfaction of outpatient nursing work.