摘要
目的探讨桡动脉采血在新生儿重症监护室血标本的采集的应用效果。方法随机选择100例在新生儿重症监护室内需采集血标本的新生儿，65例采用桡动脉，35例采用静脉，比较一次满足所需血量的成功率。桡动脉采血组中比较4．5号针头与7号针头的首次采血成功率及左右手首次采血成功率。结果采用桡动脉的一次满足所需血量的成功率明显高于采用静脉组，差异有统计学意义（χ^2=9．568，P〈0．01）。桡动脉组中选用4．5号头皮针35例，选用7号头皮针30例，首次成功率比较差异无统计学意义（χ^2=0．523，P〉0．05）；左右手首次采血成功率差异无统计学意义（χ^2=0．076，P〉0．05）。结论选用桡动脉采集血标本，且用4．5号头皮针，是最佳选择，方法简单，一次成功率高，对患儿损伤小，值得在新生儿重症监护室推广应用。
Objective Discusses application effect from the radial artery to pick the blood in NICU. Methods In the NICU with randomly selected 100 cases of newborns blood required, of which 65 cases using the radial artery, 35 cases of intravenous, comparing the first to meet the requirements for the success rate of output. In the radial artery group,to compare the 4.5th needle to pick the blood success ratio for the first time with the 7th needle and left, the right hand picks the blood success ratio for the first time. Results The radial artery group one time satisfactory volume of blood the success ratio to be higher than the vein group obviously （ χ^2 = 9. 568, P 〈 0.001 ）. In the radial artery group selects the 4.5 th needle 35 examples, selects the 7th needle 30 examples,The first success ratio compares the non-significance difference （ χ^2 = 0. 523, P 〉 0.05 ）. The left, right hand picks the blood success ratio compare the non-significance difference for the first time（ χ^2 = 0. 076, P 〉 0.05 ）. Conclusion Selects the 4.5th needle by the radial artery gathering blood specimen is the best choice, the method is simple, the disposable success ratio is high, damages to the baby is small,is worth promoting application in the NICU.
出处
《医学综述》
2009年第5期788-789,共2页
Medical Recapitulate
基金
江西省卫生厅科技计划立项科题(20051159)
关键词
新生儿重症监护
桡动脉穿刺
应用
Neonata intensive care unit
Radial artery puncture
Application
