外周动脉采血在新生儿护理中的应用分析
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摘要
目的研究和探讨新生儿外周动脉采血护理的临床应用价值,较少损伤提高采血成功率。方法以2012年10月~2013年10月收治的122例新生儿为研究对象对其进行随机分组,研究组和对照组各61例,对照组采用股静脉穿刺采血,研究组采用外周动脉采血,对两组一次采血成功率和不良反应等情况进行比较分析。结果采用外周动脉采血的研究组一次采血成功率为96.72%,高于对照组的72.13%。研究组发生标本溶血1例,发生标本凝血1例;对照组发生标本溶血5例,标本凝血5例,血肿3例,两组一次采血成功率和不良反应发生率差异均具有统计学意义(P<0.05)。结论新生儿采用外周动脉采血安全可靠,患儿痛苦小,一次采血成功率高,不良反应发生率低,可进行临床推广。
Objective To study and investigate the clinical value of peripheral arterial blood neonatal care,and less damage to improve the success rate of blood. Methods In our hospital from October 2012 to October 2013 122 neonates admitted to be randomized study,the study group and control group,61 cases in the control group were shares of venipuncture,using the outer periphery of the study group arterial blood,a blood collection success rate for both groups and adverse reactions to conduct comparative analysis. Results The study of peripheral arterial blood group a success rate of 96. 72% blood,higher than the 72. 13 percent. Study Group hemolysis occurred in 1 case,1 case occurred coagulation specimens; hemolysis occurred five cases in the control group,the specimen clotting five cases,three cases of hematoma,a blood groups and the success rate difference in the incidence of adverse reactions were statistically significant( P < 0. 05). Conclusions Neonatal using peripheral arterial blood is safe and reliable,children with less pain,a blood collection success rate,low incidence of adverse reactions can be carried out in clinical practice.
Objective To study and investigate the clinical value of peripheral arterial blood neonatal care,and less damage to improve the success rate of blood. Methods In our hospital from October 2012 to October 2013 122 neonates admitted to be randomized study,the study group and control group,61 cases in the control group were shares of venipuncture,using the outer periphery of the study group arterial blood,a blood collection success rate for both groups and adverse reactions to conduct comparative analysis. Results The study of peripheral arterial blood group a success rate of 96. 72% blood,higher than the 72. 13 percent. Study Group hemolysis occurred in 1 case,1 case occurred coagulation specimens; hemolysis occurred five cases in the control group,the specimen clotting five cases,three cases of hematoma,a blood groups and the success rate difference in the incidence of adverse reactions were statistically significant( P < 0. 05). Conclusions Neonatal using peripheral arterial blood is safe and reliable,children with less pain,a blood collection success rate,low incidence of adverse reactions can be carried out in clinical practice.
引文
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[2]倪平,陈京立.母乳吸吮对足月新生儿足跟采血疼痛影响[J].中华护理杂志,2010,45(5):429~431.
[3]张家攮,魏克伦,薛辛东.新生儿急救学[M].北京:人民卫生出版社,734~735.
[4]Young TE.Therapeutic drug monitoring--the appropriate use of drug level measurement in the care of the neonate[J].Clinics Perinatology,2012,39(1):25~31.
[5]邢贵庆.人体解剖学及组织胚胎学[M].北京:人民卫生出版社,151~172.
[6]沈艳红,娄春燕.小儿挠动脉与股动脉采血的比较[J].实用临床医学,2007,8(4):118~119.
[7]吴惠平,罗伟香.护理技术操作并发症及处理[M].中国医药科技出版社,75~81.
[8]王霞,苗桂萍,刘学兰.负压真空采血在传染病婴幼儿股静脉穿刺中的应用[J].天津护理,2010,18(2):73~74.
[9]史丽峰,陈沿清,潘云凤.新生儿不同部位采集动脉血的观察[J].天津护理,2012,20(3):171~172.