摘要
目的比较三种采血方法对婴幼儿的采血效果,寻找婴幼儿的最佳采血方法,提高穿刺成功率、减轻患儿的痛苦。方法将门诊采血的909例患儿和新生儿科住院采血的患儿347例分别分为对照组、实验1组和实验2组,对照组采用常规静脉穿刺采血法,实验1组采用离心静脉穿刺采血法,实验2组采用桡动脉穿刺采血法,观察3种采血方法在儿科门诊和病房的应用效果。结果在门诊采血处,使用离心静脉穿刺采血法采取合格血标本的概率及穿刺成功率明显高于其他两组,且并发症发生率低(P<0.05或0.01);在新生儿病房,使用桡动脉穿刺采血法采取合格血标本的概率及穿刺成功率明显高于其他两组,且并发症发生率低(P<0.05或0.01)。结论桡动脉穿刺采血法适用于新生儿病房,离心静脉穿刺采血法适用于年龄较大患儿的门诊采血处。
Objective To search for the optirnal blood collection method for pedictriz-patients and newhorns so as to enhance the success rate of venipuncture and reduce the pain of patients. Methods Nine hundred and nine children and three hundred and forty seven newborns collected blood in outpatient department and neonatal ward respectively were divided into control group, experimental group 1 and experimental group 2 according to admission time. Routine venipuncture for blood collecting was used in the control group, while centrifugal venipuncture used in experimental group 1 and radial artery puncture in experimental group 2. The efficacy of 3 puncture approaches in pediatric out-patients and in-patients were obsearved. Results For child out-patients, the proportion of qualified blood samples and success rate of puncture in experimental group I were significantly higher than those of the other two groups, with quite lower incidence rate of complications（ P 〈0.05 or 0.01）. For newborns in neonatal ward, the proportion of qualified blood samples and success rate of puncture in experimental group 2 were significantly higher than those of the other two groups,also with quite lower incidence rate of complications（ P 〈0.05 or 0.01）. Conclusion The radial atery puncture and centrifugal venipuncture is suitable for the patients in neonatal ward and in outpatient department resspectively.
出处
《解放军护理杂志》
2008年第17期19-21,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
儿科
穿刺
离心静脉
桡动脉
采血
pediatric department
puncture
centrifugal vein
radial artery
blood collection
