国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
16期
2583-2585
,共3页
血液采集%胫后动脉%穿刺术%新生儿
血液採集%脛後動脈%穿刺術%新生兒
혈액채집%경후동맥%천자술%신생인
Blood sampling%Posterior tibial artery%Puncture%Neonate
目的 探索胫后动脉穿刺采血法在新生儿科的应用.方法 对新生儿科收治疗的450例新生儿随机分为胫后动脉组(A组)、桡动脉(B组)及股动脉(C组)各150例.对三组采血方法中穿刺点青紫范围、血肿发生率及一次穿刺成功率进行对比.结果 A组青紫范围半径＜ 0.2 cm的有79例,占52％；发生血肿的有5例,占3.3％；1次穿刺成功的有136例,占90.6％.B组青紫范围半径＜0.2 cm的有66例,占44％；发生血肿有11例,占7.3％；一次穿刺成功有114例,占76.0％.C组青紫范围半径＜0.2cm的有53例,占35％；发生血肿有30例,占20％；一次穿刺成功有82例,占54.6％.结论 经胫后动脉采血技术,成功率较高,可操作性强,比桡动脉、股动脉采血时对患者的不良影响要小,易掌握,且能提供多一个采血部位,减轻患儿痛苦,值得在工作中推广.
目的 探索脛後動脈穿刺採血法在新生兒科的應用.方法 對新生兒科收治療的450例新生兒隨機分為脛後動脈組(A組)、橈動脈(B組)及股動脈(C組)各150例.對三組採血方法中穿刺點青紫範圍、血腫髮生率及一次穿刺成功率進行對比.結果 A組青紫範圍半徑＜ 0.2 cm的有79例,佔52％；髮生血腫的有5例,佔3.3％；1次穿刺成功的有136例,佔90.6％.B組青紫範圍半徑＜0.2 cm的有66例,佔44％；髮生血腫有11例,佔7.3％；一次穿刺成功有114例,佔76.0％.C組青紫範圍半徑＜0.2cm的有53例,佔35％；髮生血腫有30例,佔20％；一次穿刺成功有82例,佔54.6％.結論 經脛後動脈採血技術,成功率較高,可操作性彊,比橈動脈、股動脈採血時對患者的不良影響要小,易掌握,且能提供多一箇採血部位,減輕患兒痛苦,值得在工作中推廣.
목적 탐색경후동맥천자채혈법재신생인과적응용.방법 대신생인과수치료적450례신생인수궤분위경후동맥조(A조)、뇨동맥(B조)급고동맥(C조)각150례.대삼조채혈방법중천자점청자범위、혈종발생솔급일차천자성공솔진행대비.결과 A조청자범위반경＜ 0.2 cm적유79례,점52％；발생혈종적유5례,점3.3％；1차천자성공적유136례,점90.6％.B조청자범위반경＜0.2 cm적유66례,점44％；발생혈종유11례,점7.3％；일차천자성공유114례,점76.0％.C조청자범위반경＜0.2cm적유53례,점35％；발생혈종유30례,점20％；일차천자성공유82례,점54.6％.결론 경경후동맥채혈기술,성공솔교고,가조작성강,비뇨동맥、고동맥채혈시대환자적불량영향요소,역장악,차능제공다일개채혈부위,감경환인통고,치득재공작중추엄.
Objective To explore the application of posterior tibial artery puncture for blood sampling in the department of pedatrics.Methods 450 neonates who had been treated in the neonatal department were randomly divided into posterior tibial artery group (group A),radial artery group (group B),and femoral artery group (group C),150 for each group.The cyanoderma area of the puncture point,and the rate of hematoma,and the success rate of primary puncture were compared among the three groups.Results In group A,79 (52％) patients had a diameter of cyanoderma less than 2 cm; 5 (3.3％) developed hematoma; and 136 (90.6％) had a success rate of primary puncture.In group B,66 (44％) patients had a diameter of cyanoderma less than 2 cm; 11 (7.3％) developed hematoma; and 114 (76.0％) had a success rate of primary puncture.In group C,53 (35％) patients had a diameter of cyanoderma less than 2 cm; 30 (20％) developed hematoma; and 82 (54.6％) had a success rate of primary puncture.Conclusions Posterior tibial artery puncture for blood sampling has a higher success rate and is easier to control.It has fewer adverse effects than radial artery or femoral artery puncture and provides additional blood sampling site,which can relieve pain in neonatal patients.It is worth popularizing clinically.
