CAJ | 학술논문

目的探讨从脐静脉导管采集血液标本对导管使用情况和相关并发症的影响.方法选择80例留置脐静脉导管的早产儿,随机分为采血组和非采血组各40例,比较2组患儿住院天数、导管留置时间和导管相关并发症发生率.采血组40例分别经脐静脉导管采血作为实验组、经外周血管常规穿刺采血作为对照组,比较2组采血时间、采血成功率及对患儿的影响.结果采血组和非采血组患儿住院天数、导管留置时间、导管相关并发症发生率比较无差异;实验组和采血对照组采血时间、采血成功率、采血时患儿出现不良反应比较有差异.结论脐静脉导管采血只要方法正确、操作程序规范对导管正常使用无明显影响,并具有无痛苦、成功率高、保护外周血管等优点,可作为危重新生儿采集血标本的途径之一.
목적 탐토종제정맥도관채집혈액표본대도관사용정황화상관병발증적영향.방법 선택80례류치제정맥도관적조산인,수궤분위채혈조화비채혈조각40례,비교2조환인주원천수、도관류치시간화도관상관병발증발생솔.채혈조40례분별경제정맥도관채혈작위실험조、경외주혈관상규천자채혈작위대조조,비교2조채혈시간、채혈성공솔급대환인적영향.결과 채혈조화비채혈조환인주원천수、도관류치시간、도관상관병발증발생솔비교무차이;실험조화채혈대조조채혈시간、채혈성공솔、채혈시환인출현불량반응비교유차이.결론 제정맥도관채혈지요방법정학、조작정서규범대도관정상사용무명현영향,병구유무통고、성공솔고、보호외주혈관등우점,가작위위중신생인채집혈표본적도경지일.
Objective To investigate the effect of blood specimen collection from umbilical vein catheter on catheter usage condition and relevant complications. Methods 80 premature infants with indwelling umbilical vein catheter were divided into the blood collection group and the non-blood collec-tion group, then the hospitalization time, catheter indwelling time and rate of catheter-related complications were compared. The 40 premature infants in the blood colleetion group were subsequently divided into the experimental group in which blood was collected from umbilical vein catheter and the control group in which blood was collected from peripheral blood vessel, then the blood collection time, success rate and influence on newborns were compared. Results There was no significant difference in hospitalization time, catheter indwelling time and rate of catheter-related complications between the blood collection group and the non-blood collection group. There was statistical significance in blood collection time, success rate and adverse reaction on suffering newborns between the experimental group and the control group. Conclusions There was no obvious influence on the regular service of the catheter if only the method is correct and operating procedure is normative, also it possesses advantages such as no pain, high success rate, peripheral vascular protection, etc. So, it can be used as one of the ways to collect blood speci-men for critical newborns.