新生儿桡动脉、股静脉采血方式的应用价值分析
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摘要
目的:分析新生儿不同采血方式的应用效果。方法:选取于妇产科出生1～7 d的新生儿481例为研究对象,随机分为对照组211例,观察组270例,分别采用股静脉穿刺、桡动脉穿刺进行采血,比较不同采血方式的应用效果。结果:观察组一次性穿刺成功率高于对照组,采血所需时间、NIPS评分、不良反应发生率均优于对照组,差异均有统计学意义(P<0.05)。观察组采血中心率、血氧饱和度变化幅度均小于对照组,家属满意度高于对照组,差异均有统计学意义(P<0.05)。结论:新生儿桡动脉穿刺采血安全可靠,可减轻新生儿疼痛,降低对新生儿心率及血氧饱和度影响,家属满意度较高。
Objective:To analyze the effect of different methods of blood collection in neonatal.Method:481 neonatal born between 1 and 7 days in the department of obstetrics and gynecology were selected as study objects,which were randomly divided into the control group 211 cases and the observation group270 cases,using femoral vein puncture and radial artery puncture respectively.To compare the effect of different blood collection methods.Result:The rate of onetime puncture success of the observation group was higher than that of the control group,the time required for blood collection,NIPS score and the incidence of adverse reactions were better than those of the control group,and the differences were statistically significant(P<0.05).The changes in heart rate and blood oxygen saturation levels in blood collection were less than those of the control group,and the family satisfaction was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The neonatal radial artery puncture blood collection is safe and reliable,can reduce neonatal pain,reduce the impact on neonatal heart rate and blood oxygen saturation,family satisfaction is higher.
Objective:To analyze the effect of different methods of blood collection in neonatal.Method:481 neonatal born between 1 and 7 days in the department of obstetrics and gynecology were selected as study objects,which were randomly divided into the control group 211 cases and the observation group270 cases,using femoral vein puncture and radial artery puncture respectively.To compare the effect of different blood collection methods.Result:The rate of onetime puncture success of the observation group was higher than that of the control group,the time required for blood collection,NIPS score and the incidence of adverse reactions were better than those of the control group,and the differences were statistically significant(P<0.05).The changes in heart rate and blood oxygen saturation levels in blood collection were less than those of the control group,and the family satisfaction was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The neonatal radial artery puncture blood collection is safe and reliable,can reduce neonatal pain,reduce the impact on neonatal heart rate and blood oxygen saturation,family satisfaction is higher.
引文
[1]刘丹.比较新生儿疾病筛查足跟血采集应用不同护理管理措施的效果[J].中国医疗设备,2017,32(S1):233-234.
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[7]李佳容,李丽,杨志芬.1~3月龄婴儿股静脉采血30°角斜刺与直刺的对比研究[J].实用临床医药杂志,2016,20(12):190-191.
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[9]于新月.新生儿桡动脉采血与股静脉采血的成功率与副作用的差异研究[J].临床研究,2017,25(6):67-68.
[10]王玲鹤.新生儿股静脉与桡动脉穿刺采血的临床效果和安全性对比[J].山西职工医学院学报,2017,27(3):49-50.
[11]吴连红.探讨两种不同采血方式在新生儿疾病筛查中的应用[J].安徽卫生职业技术学院学报,2016,15(4):162-163.
[12]王新.使用改良的采血方式采集新生儿足跟血的效果研究[J].当代医药论丛,2016,14(20):58-59.
[2]贺芳,张喆,黄小知,等.3种量表用于新生儿足跟采血疼痛评估的信效度分析[J].护理学报,2017,24(1):1-4.
[3]唐建平,孙红芹,张磊,等.970例新生儿遗传性代谢病筛查及分子诊断结果分析[J].安徽医药,2017,21(5):876-879.
[4]国家卫生计生委临床检验中心新生儿遗传代谢病筛查实验室专家组.新生儿遗传代谢病筛查质量指标共识[J].中华检验医学杂志,2017,40(5):352.
[5]杨晓霞.早产儿足跟采血干预方法缓解疼痛的对比研究[J].临床与病理杂志,2016,36(6):742-746.
[6]鲍柳春,张剑萍,李雪芬,等.综合疼痛干预减轻新生儿足跟采血急性疼痛刺激的效果[J].现代临床护理,2016,15(11):42-45.
[7]李佳容,李丽,杨志芬.1~3月龄婴儿股静脉采血30°角斜刺与直刺的对比研究[J].实用临床医药杂志,2016,20(12):190-191.
[8]黄静,杨玲,李荟樱,等.桡动脉不同穿刺方法采血效果的比较研究[J].四川医学,2017,38(11):1263-1265.
[9]于新月.新生儿桡动脉采血与股静脉采血的成功率与副作用的差异研究[J].临床研究,2017,25(6):67-68.
[10]王玲鹤.新生儿股静脉与桡动脉穿刺采血的临床效果和安全性对比[J].山西职工医学院学报,2017,27(3):49-50.
[11]吴连红.探讨两种不同采血方式在新生儿疾病筛查中的应用[J].安徽卫生职业技术学院学报,2016,15(4):162-163.
[12]王新.使用改良的采血方式采集新生儿足跟血的效果研究[J].当代医药论丛,2016,14(20):58-59.