CAJ | 학술논문

目的比较采集危重患者血气标本股动脉与足背动脉两个不同部位的临床效果.方法对ICU112例APACHEⅡ评分在27～43分的危重患者,分别选用5号针头1 ml注射器行足背动脉采血法与7号针头5 ml注射器行股动脉采血法,对两种采血方法的临床效果进行比较.结果两种采血方法的血气分析的结果差异无统计学意义(P＞0.05);股动脉一针穿刺成功例数大于足背动脉(110 vs100,χ2=14.23,P＜0.05),两个采血部位在误穿静脉、血肿形成、血栓形成、按压时间方面比较差异均有统计学意义(12 vs 1,7 vs 0,6 vs 0,5.5±0.7 vs 2.5±0.5;χ2=9.32,5.99,4.85,t=38.06,P＜0.05).结论应根据患者的病情采取个体化的采血方案,经股动脉采血时需加强并发症的预防,提高临床护理质量.
목적 비교채집위중환자혈기표본고동맥여족배동맥량개불동부위적림상효과.방법 대ICU112례APACHEⅡ평분재27～43분적위중환자,분별선용5호침두1 ml주사기행족배동맥채혈법여7호침두5 ml주사기행고동맥채혈법,대량충채혈방법적림상효과진행비교.결과 량충채혈방법적혈기분석적결과차이무통계학의의(P＞0.05);고동맥일침천자성공례수대우족배동맥(110 vs100,χ2=14.23,P＜0.05),량개채혈부위재오천정맥、혈종형성、혈전형성、안압시간방면비교차이균유통계학의의(12 vs 1,7 vs 0,6 vs 0,5.5±0.7 vs 2.5±0.5;χ2=9.32,5.99,4.85,t=38.06,P＜0.05).결론 응근거환자적병정채취개체화적채혈방안,경고동맥채혈시수가강병발증적예방,제고림상호리질량.
Objective To evaluate the effectiveness of blood gas analysis in samples from two regions.Methods 112 patients with APACHE Ⅱ scores 27 ～ 43 were taken arterial blood from dorsalis pedis artery and femoral artery respectively. Compare the clinical effect of the samples. Results There is no statistically significant difference between results of two blood collection methods ( P ＞ 0. 05 ), While there is statistically significant difference in puncture success ( 110 vs 100, χ2 = 14.23, P ＜ 0. 05 ), vein mistaken injury, hematoma formation, thrombosis, and compression time ( 12 vs 1,7 vs 0,6 vs 0,5.5 ±0.7 vs 2.5 ±0.5 ;χ2 =9.32,5.99,4.85,t = 38. 06, P ＜ 0. 05 ). Conclusions Blood collection method should be determined by the different situation of critically ill patients. Femoral artery blood sample should be taken with caution in order to prevent complication and improve quality of nursing care.