CAJ | 학술논문

目的探讨头皮针行新生儿静脉抽血最佳穿刺部位,以期提高采血成功率.方法选择我院新生儿病房采集血标本对象400例.按穿刺部位随机分为4组,包括头皮静脉110例、颈外静脉75例、股静脉120例、四肢浅静脉95例,在留取血标本时对采血成功率、有无并发症发生等方面进行比较,分析使用效果.结果 4组患儿采血成功率的差异具有统计学意义(P<0.01),采用头皮静脉针行新生儿股静脉抽血.其采血成功率高达90.8%;而并发症发生率的差异无统计学意义(P=0.958).结论采用头皮静脉针行新生儿股静脉抽血,其血流丰富、可采血量大,在同等采血量的情况下所需时间短,定位准确,穿刺成功率高;行头皮静脉、四肢浅静脉抽血,多发生采血量不足而影响采血成功率;颈外静脉采血操作难度大,存在一定的危险性,如不慎或操作不当易发生意外.因此,采用头皮静脉针行新生儿静脉抽血首选股静脉.
목적 탐토두피침행신생인정맥추혈최가천자부위,이기제고채혈성공솔.방법 선택아원신생인병방채집혈표본대상400례.안천자부위수궤분위4조,포괄두피정맥110례、경외정맥75례、고정맥120례、사지천정맥95례,재류취혈표본시대채혈성공솔、유무병발증발생등방면진행비교,분석사용효과.결과 4조환인채혈성공솔적차이구유통계학의의(P<0.01),채용두피정맥침행신생인고정맥추혈.기채혈성공솔고체90.8%;이병발증발생솔적차이무통계학의의(P=0.958).결론 채용두피정맥침행신생인고정맥추혈,기혈류봉부、가채혈량대,재동등채혈량적정황하소수시간단,정위준학,천자성공솔고;행두피정맥、사지천정맥추혈,다발생채혈량불족이영향채혈성공솔;경외정맥채혈조작난도대,존재일정적위험성,여불신혹조작불당역발생의외.인차,채용두피정맥침행신생인정맥추혈수선고정맥.
Objective To explore the best puncture position when applying scalp acupuncture to newbern's vein haemospasia,so as to raise the achievement ratio,Methods A total of 400 blood specimen collections of newborn nursery were selected.According to different puncture position,they were randomly divided into scalp vein group (n=110),external jugular vein group (n=75),femoral vein group (n=120) and extremities superficial vein group (n=95).The success rate,complication ratio and so on the effects were analyzed.Results There were significant differences between the four groups on success rote (P<0.01).The success rate of femoral vein group was 90.8%.And there were no significant differences on complication ratio (P=0.958).Conclusions Applying scalp acupuncture to newborn's femoral vein haemospasia,its bloodstream is rich,it need a shorter time to draw the Same volume blood,accurate allocation and the success rate is higher.Scalp vein and extremities superficial vein hanmospasia may unable to draw the adequate blood and then affect the success rate.External jugular vein haemospasia is more difficult and dangerous.So apply scalp acupuncture to vein puncture, femoral vein is in the first place.