CAJ | 학술논문

目的探讨头皮针行新生儿股静脉抽血最佳穿刺方法,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360例,按穿刺方法随机分为2组,包括直刺法180例、斜刺法180例,在留取血标本时对采血成功率、局部组织损伤情况和溶血凝血情况等方面进行比较,分析使用效果.结果 2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斜刺抽血,其采血成功率高达94.4%;局部组织损伤情况的差异具有统计学意义(P＜0.05);而发生溶血凝血情况的差异无统计学意义(P=0.822).结论采用头皮静脉针行股静脉斜刺法抽血,其采血成功率高、采血量大、一次能采集足够血量,能减少局部组织损伤情况的发生,有效地减少护士工作量和减轻患儿痛苦.因此认为,头皮静脉针行新生儿股静脉抽血宜采用斜刺法.
목적 탐토두피침행신생인고정맥추혈최가천자방법,이기제고채혈성공솔.방법 선택아원신생인병방채집혈표본대상360례,안천자방법수궤분위2조,포괄직자법180례、사자법180례,재류취혈표본시대채혈성공솔、국부조직손상정황화용혈응혈정황등방면진행비교,분석사용효과.결과 2조환인채혈성공솔적차이구유통계학의의(P＜0.01),채용두피정맥침행신생인고정맥사자추혈,기채혈성공솔고체94.4%;국부조직손상정황적차이구유통계학의의(P＜0.05);이발생용혈응혈정황적차이무통계학의의(P=0.822).결론 채용두피정맥침행고정맥사자법추혈,기채혈성공솔고、채혈량대、일차능채집족구혈량,능감소국부조직손상정황적발생,유효지감소호사공작량화감경환인통고.인차인위,두피정맥침행신생인고정맥추혈의채용사자법.
Objective To explore the best puncture method when applying scalp acupuncture to newborn's femoral vein blood drawing, so that we may raise the achievement ratio. Methods A total of 360 blood specimen collections of newborn nursery were selected. According to different puncture methods, they were randomly divided into two groups, straight puncture group (n = 180) and oblique puncture group (n = 180). The success rate, scathing conditions of local tissue, the conditions of hemolysis and clotting were compared and analyzed. Results There were significant differences between the two groups on success rate (P＜0.01). The success rate of oblique puncture group reached 94.4%. The scathing conditions of local tissue of the two groups were significant different (P＜0.05 ), but there were no significant differences between the conditions of hemolysis and clotting of the two groups (P = 0.822 ). Conclusions It is helpful to achieve high success rate, rich bloodstream and the adequate blood at one time applying scalp acupuncture to newborn's femoral vein blood drawing with oblique puncture. It also help to reduce the incidence of the scathing conditions of local tissue and it will reduce the amount of work of nurses and lighten sufferings of the newborns. It is suggested to choose oblique puncture method when applying scalp acupuncture to newborn's femoral vein blood drawing.