中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
3期
261-263
,共3页
婴儿,新生%桡动脉%穿刺术
嬰兒,新生%橈動脈%穿刺術
영인,신생%뇨동맥%천자술
Infant,newborn%Radial artery%Puncture
目的 探讨触摸法和连线定位法两种穿刺方法在新生儿桡动脉穿刺采血中的应用效果.方法 将进行桡动脉穿刺采集血液标本的600例患儿随机分为实验组与对照组各300例.实验组在穿刺方法上运用解剖连线定位方法,对照组采用传统的触摸动脉穿刺定位方法.比较两组的一次性穿刺成功率、穿刺所用时间及穿刺后并发症发生的情况.结果 两组患儿一次性穿刺成功率,实验组为96.0％高于对照组的88.3％,两组比较差异有统计学意义(x2=12.21,P＜0.01)；实验组穿刺所用时间(2.82±0.24) min,低于对照组(3.93±0.50) min,两组比较差异有统计学意义(t=9.897,P＜0.01)；实验组穿刺后并发症发生率为3.3％低于对照组的7.6％,两组比较差异有统计学意义(x2=5.44,P＜0.05).结论 应用连线解剖定位穿刺方法进行桡动脉采血,可操作性强、成功率高,值得临床推广应用.
目的 探討觸摸法和連線定位法兩種穿刺方法在新生兒橈動脈穿刺採血中的應用效果.方法 將進行橈動脈穿刺採集血液標本的600例患兒隨機分為實驗組與對照組各300例.實驗組在穿刺方法上運用解剖連線定位方法,對照組採用傳統的觸摸動脈穿刺定位方法.比較兩組的一次性穿刺成功率、穿刺所用時間及穿刺後併髮癥髮生的情況.結果 兩組患兒一次性穿刺成功率,實驗組為96.0％高于對照組的88.3％,兩組比較差異有統計學意義(x2=12.21,P＜0.01)；實驗組穿刺所用時間(2.82±0.24) min,低于對照組(3.93±0.50) min,兩組比較差異有統計學意義(t=9.897,P＜0.01)；實驗組穿刺後併髮癥髮生率為3.3％低于對照組的7.6％,兩組比較差異有統計學意義(x2=5.44,P＜0.05).結論 應用連線解剖定位穿刺方法進行橈動脈採血,可操作性彊、成功率高,值得臨床推廣應用.
목적 탐토촉모법화련선정위법량충천자방법재신생인뇨동맥천자채혈중적응용효과.방법 장진행뇨동맥천자채집혈액표본적600례환인수궤분위실험조여대조조각300례.실험조재천자방법상운용해부련선정위방법,대조조채용전통적촉모동맥천자정위방법.비교량조적일차성천자성공솔、천자소용시간급천자후병발증발생적정황.결과 량조환인일차성천자성공솔,실험조위96.0％고우대조조적88.3％,량조비교차이유통계학의의(x2=12.21,P＜0.01)；실험조천자소용시간(2.82±0.24) min,저우대조조(3.93±0.50) min,량조비교차이유통계학의의(t=9.897,P＜0.01)；실험조천자후병발증발생솔위3.3％저우대조조적7.6％,량조비교차이유통계학의의(x2=5.44,P＜0.05).결론 응용련선해부정위천자방법진행뇨동맥채혈,가조작성강、성공솔고,치득림상추엄응용.
Objective To explore touch puncture method and wired positioning puncture method on the neonatal blood collection via radial artery.Methods Totals of 600 newborns needed blood collection via radial artery were randomly into experimental group and control group,per group 300 cases.Control group received traditional touch method to puncture,while experimental group on the bases of puncture method received anatomy wired positioning puncture.Then,the success ratio of one-time puncture,puncture time and complications were compared.Results The success ratio of one-time puncture of experimental group was 96.0％ higher than control group that was 88.3％,and the difference was statistically significant( x2 =12.21,P＜0.01) ;Puncture time of experimental group was(2.82 ±0.24) min lower than control group that was (3.93 ± 0.50) min,and the difference was statistically significant ( t =9.897,P ＜ 0.01 ) ; The incidence of complications of experimental group was 3.3％ lower than control group that was 7.6％,and the difference was statistically significant (x2 =5.44,P ＜ 0.05 ).Conclusions Anatomy wired positioning method using in neonatal blood collection has a strong operability and high puncture success ratio,which deserves to be spread and used in the clinic.
