筛查新生儿地中海贫血两种采血方法的比较  

Comparison of two bloodtaking methods of screening heouatal mediterranern anemia

作　　者：危早梅[1] 贾杰[1] 赵根容[1] 彭武江[1] 陶仕娟[1] 陈韵殊[1] 

机构地区：[1]广东省妇幼保健院手术室,广州510010

出　　处：《中国医药》2010年第3期269-270,共2页China Medicine

摘　　要：目的探讨筛查新生儿地中海贫血的较佳采血方法。方法对650例在我院分娩的新生儿分为脐静脉采血组和股静脉采血组，分别采脐静脉血和股静脉血进行A身对照分析。结果2组地中海贫血标志物（异常血红蛋白、HBA含量、HbBart’s）检出阳性率差异无统计学意义（P〉0．05）；采血穿刺成功率2组差异有统计学意义（脐静脉采血组为100％，股静脉采血组为78％，P〈0．01）。2组采血操作时间比较，差异有统计学意义[脐静脉采血组为（1．40±0．29）min，股静脉采血组为（5．69±0．85）min，P〈0．01]。结论脐静脉采血组比股静脉采血组采血穿刺成功率高、操作时问短，有利于临床护理工作；且新生儿无痛苦、家属易接受，有较好的经济效益和社会效益。Objective To investigate a preferable bloodtaking method for patients with neonatal Mediterra- nean anemia or thalassemia. Method Umbilical blood and femorala vein blood were collected in 650 cases of neo- nates. Self-contrast analysis was used in this study. Results There was no significant difference of Mediterranean anemic markers, including abnormal Hb, HBA contents and HbBart＇s between the testing methods （P 〉 0.05 ）, but there was significant difference of success rates of blood taking puncturing process and the implementation time [ 100% vs 78% ; （ 1.40 ± 0.29） min vs （5.69 ± 0.85 ） rain ; P 〈 0. O1 ]. Compared with the femoral vein group, um- bilical vein group had higher puncturing success rates and shorter implementation time, creating favorable conditions for nursing and bringing little pain to the newborns, which was much more acceptable to the family and showed better economic and social benefits. Conclusions Collecting umbilical venous blood to is a valid method of screening the neonatal Mediterranean.

关 键 词：地中海贫血 新生儿 脐静脉血 股静脉血 采血方法 

分 类 号：R556[医药卫生—血液循环系统疾病]