CAJ | 학술논문

目的：观察并比较经静脉留置针采集血标本与一次性真空采血管采集血液标本的效果。方法随机抽取2014年1月—2014年12月在该院门诊和住院的具有可比性的120例糖尿病患者为研究对象，门诊60例患者（对照组）采用一次性采血针采血，住院60例患者（实验组）采用静脉留置针采血，以血管弹性良好、舒适和成功例数为观察指标，比较两种方式采集血液标本效果之间差异是否具有统计学意义。结果对照组60例患者中，32例血管弹性良好，35例舒适，1、2次和3次成功例数分别为40例、16例和4例；实验组60例患者中，54例血管弹性良好，56例舒适，1、2次和3次成功例数分别为52例、3例和5例，实验组效果明显高于对照组（P<0.01）。结论糖尿病病人用静脉留置针采血适用于需随时监测血糖情况，指导临床治疗的危急重症患者，与一次性采血针相比较，静脉留置针可保护血管，减少因反复多次穿刺抽血给患者带来的痛苦和产生并发症的危险，同时有利于抢救和治疗，具有明显的优势和临床使用价值。
목적：관찰병비교경정맥류치침채집혈표본여일차성진공채혈관채집혈액표본적효과。방법수궤추취2014년1월—2014년12월재해원문진화주원적구유가비성적120례당뇨병환자위연구대상，문진60례환자（대조조）채용일차성채혈침채혈，주원60례환자（실험조）채용정맥류치침채혈，이혈관탄성량호、서괄화성공례수위관찰지표，비교량충방식채집혈액표본효과지간차이시부구유통계학의의。결과대조조60례환자중，32례혈관탄성량호，35례서괄，1、2차화3차성공례수분별위40례、16례화4례；실험조60례환자중，54례혈관탄성량호，56례서괄，1、2차화3차성공례수분별위52례、3례화5례，실험조효과명현고우대조조（P<0.01）。결론당뇨병병인용정맥류치침채혈괄용우수수시감측혈당정황，지도림상치료적위급중증환자，여일차성채혈침상비교，정맥류치침가보호혈관，감소인반복다차천자추혈급환자대래적통고화산생병발증적위험，동시유리우창구화치료，구유명현적우세화림상사용개치。
Objective To observe and compare the intravenous catheter blood samples and disposable vacuum blood collection of blood samples effect. Methods Randomly selected from January 2014 to December 2014 in our clinic and 120 patients with diabetes mellitus comparable hospitalization for the study , 60 patients clinic (control group) using a disposable blood lancets, hospitalized 60 patients (experimental group) using intravenous catheter blood to blood vessel elasticity is good, comfortable and successful as the number of cases observed indicators , comparing two ways differences between blood sam-ples collected whether a statistically significant effect. Results In the control group of 60 patients, 32 cases of blood vessel elasticity is good, 35 cases of comfort, 1, 2 and 3 times the number of successful cases were 40 cases, 16 cases and four cases; the experimental group, 60 patients, 54 cases of vessels good elasticity, 56 cases of comfort, 1, 2 and 3 times the number of successful cases were 52 cases, 3 cases and 5 cases, the effect of the experimental group was significantly higher (P<0.01). Conclusion Diabetic patients with intravenous catheter need constantly monitor blood glucose applies to cases of emergency and severe clinical treatment of patients, compared with one-time blood collection needles, intravenous catheter can protect blood vessels, reducing blood due to repeated puncture to patients pain and dangerous complications, and help rescue and treatment, has obvious advantages and clinical value.