CAJ | 학술논문

目的探讨筛查新生儿地中海贫血的较佳采血方法.方法对650例在我院分娩的新生儿分为脐静脉采血组和股静脉采血组,分别采脐静脉血和股静脉血进行自身对照分析.结果 2组地中海贫血标志物(异常血红蛋白、HBA含量、HbBart's)检出阳性率差异无统计学意义(P>0.05);采血穿刺成功率2组差异有统计学意义(脐静脉采血组为100%,股静脉采血组为78%,P<0.01).2组采血操作时间比较,差异有统计学意义[脐静脉采血组为(1.40±0.29)min,股静脉采血组为(5.69±0.85)min,P<0.01].结论脐静脉采血组比股静脉采血组采血穿刺成功率高、操作时间短,有利于临床护理工作;且新生儿无痛苦、家属易接受,有较好的经济效益和社会效益.
목적 탐토사사신생인지중해빈혈적교가채혈방법.방법 대650례재아원분면적신생인분위제정맥채혈조화고정맥채혈조,분별채제정맥혈화고정맥혈진행자신대조분석.결과 2조지중해빈혈표지물(이상혈홍단백、HBA함량、HbBart's)검출양성솔차이무통계학의의(P>0.05);채혈천자성공솔2조차이유통계학의의(제정맥채혈조위100%,고정맥채혈조위78%,P<0.01).2조채혈조작시간비교,차이유통계학의의[제정맥채혈조위(1.40±0.29)min,고정맥채혈조위(5.69±0.85)min,P<0.01].결론 제정맥채혈조비고정맥채혈조채혈천자성공솔고、조작시간단,유리우림상호리공작;차신생인무통고、가속역접수,유교호적경제효익화사회효익.
Objective To investigate a preferable bloodtaking method for patients with neonatal Mediterra-nean anemia or thalassemia. Method Umbilical blood and femorala vein blood were collected in 650 cases of neo-nates. Self-contrast analysis was used in this study. Results There was no significant difference of Mediterranean anemic markers, including abnormal Hb, HBA contents and HbBart's between the testing methods (P >0.05), but there was significant difference of success rates of blood taking puncturing process and the implementation time [100% vs 78% ;(1.40±0.29)min vs (5.69±0.85) min;P < 0.01]. Compared with the femoral vein group, um-bilical vein group had higher puncturing success rates and shorter implementation time, creating favorable conditions for nursing and bringing little pain to the newborns, which was much more acceptable to the family and showed better economic and social benefits. Conclusions Collecting umbilical venous blood to is a valid method of screening the neonatal Mediterranean.