中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
17期
76-78
,共3页
头皮针%采血针真空采血法%新生儿股静脉
頭皮針%採血針真空採血法%新生兒股靜脈
두피침%채혈침진공채혈법%신생인고정맥
Scalp acupuncture%Blood collection needle vacuum blood collection method%Neonatal femoral vein
目的：探讨头皮针联合采血针真空采血法在新生儿股静脉采血中的应用效果。方法选取2012年10月~2013年10月本院收治的187例新生儿，将其随机分为对照组一(n=62)、对照组二(n=62)和实验组(n=63)。对照组一采用头皮针衔接注射器采血，对照组二采用真空采血针采血，实验组采用头皮针联合采血针真空法采血，3组采血均由固定的人员进行操作，比较3组的采血效果。结果实验组的一次性穿刺成功率为96.8%，高于对照组一的87.1%和对照组二的82.2%，组间差异有统计学意义(P<0.05或P<0.01)；实验组的标本合格率为96.8%，显著高于对照组一的80.6%，组间差异有统计学意义(P<0.05)；实验组的血肿发生率为0%，显著低于对照组二的8.06%，组间差异有统计学意义(P<0.05)。结论应用头皮针联合采血针真空采血法行新生儿股静脉采血，效果安全、成功率高，可减轻患儿痛苦，特别是早产儿、低体重儿、严重脱水新生儿，值得临床推广应用。
目的：探討頭皮針聯閤採血針真空採血法在新生兒股靜脈採血中的應用效果。方法選取2012年10月~2013年10月本院收治的187例新生兒，將其隨機分為對照組一(n=62)、對照組二(n=62)和實驗組(n=63)。對照組一採用頭皮針銜接註射器採血，對照組二採用真空採血針採血，實驗組採用頭皮針聯閤採血針真空法採血，3組採血均由固定的人員進行操作，比較3組的採血效果。結果實驗組的一次性穿刺成功率為96.8%，高于對照組一的87.1%和對照組二的82.2%，組間差異有統計學意義(P<0.05或P<0.01)；實驗組的標本閤格率為96.8%，顯著高于對照組一的80.6%，組間差異有統計學意義(P<0.05)；實驗組的血腫髮生率為0%，顯著低于對照組二的8.06%，組間差異有統計學意義(P<0.05)。結論應用頭皮針聯閤採血針真空採血法行新生兒股靜脈採血，效果安全、成功率高，可減輕患兒痛苦，特彆是早產兒、低體重兒、嚴重脫水新生兒，值得臨床推廣應用。
목적：탐토두피침연합채혈침진공채혈법재신생인고정맥채혈중적응용효과。방법선취2012년10월~2013년10월본원수치적187례신생인，장기수궤분위대조조일(n=62)、대조조이(n=62)화실험조(n=63)。대조조일채용두피침함접주사기채혈，대조조이채용진공채혈침채혈，실험조채용두피침연합채혈침진공법채혈，3조채혈균유고정적인원진행조작，비교3조적채혈효과。결과실험조적일차성천자성공솔위96.8%，고우대조조일적87.1%화대조조이적82.2%，조간차이유통계학의의(P<0.05혹P<0.01)；실험조적표본합격솔위96.8%，현저고우대조조일적80.6%，조간차이유통계학의의(P<0.05)；실험조적혈종발생솔위0%，현저저우대조조이적8.06%，조간차이유통계학의의(P<0.05)。결론응용두피침연합채혈침진공채혈법행신생인고정맥채혈，효과안전、성공솔고，가감경환인통고，특별시조산인、저체중인、엄중탈수신생인，치득림상추엄응용。
Objective To compare the application effects of scalp acupuncture combined with blood collection needle vacuum blood collection method in neonatal blood collection via femoral vein. Methods 187 neonatal patients treated in our hospital from October 2012 to October 2013 were selected,and they were randomly divided into control group 1 (n=62), control group 2 (n=62) and experiment group (n=63).The control group 1 was given scalp acupuncture combined with syringe blood collection,the control group 2 was given blood collection via vacuum blood needle,the experiment group was given scalp acupuncture combined with vacuum blood collection by blood needle. All blood collections of 3 groups were operated by fixed personnel.Effects of blood collection was compared between 3 groups. Results One-time successful rate of blood collection via femoral vein in the experiment group (96.8%) was higher than that of control group 1(87.1%) and control group 2(83.9%).The difference was statistically significant(P<0.05 or P<0.01).Percentage of passed specimen in the experiment group (96.8%) was significantly higher than that of control group 1(80.6%),and the difference was statistically significant (P<0.05).Incidence of hematoma in the experiment group (0%) was significantly lower than that of control group 2 (8.06%), and the difference was statistically significant (P<0.05). Conclusion Scalp acupuncture combined with blood collection needle vacuum blood collection methodapplied in blood collection via femoral vein for infants is safe and easy to be successful,and helps alleviate infants’ pain,especially for premature in-fants,infants of low-birth weight and severely dehydrated infants,which is worthy of clinical promotion and application.
