新改良足跟穿刺采血法的应用  

Application of Modified Method of Collecting Infant Heel Blood

作　　者：冷虹瑶[1] 郑显兰[1] 

机构地区：[1]重庆医科大学附属儿童医院护理部,重庆400014

出　　处：《护士进修杂志》2013年第8期747-749,共3页Journal of Nurses Training

基　　金：重庆市卫生局医学科学研究基金资助重点项目(编号:2011-1-071)

摘　　要：目的通过改进足跟穿刺定位方法和血液收集手法,提高新生儿足跟穿刺一次性成功率,减少血液收集给新生儿带来的痛苦。方法将600例足月新生儿随机分为实验组和对照组各300例。实验组采用改良后的足跟穿刺点定位法和血液收集法,对照组采用目前广泛使用的足跟穿刺定位法和血液收集法。比较两组一次穿刺成功率,采血时间,穿刺前1min、穿刺后3min、5min、10min疼痛评分。结果一次穿刺成功率实验组明显高于对照组(χ2=80.85,P=0.00),采血时间明显低于对照组(t=6.46,P=0.00),差异有显著意义;穿刺后3min、5min、和10min疼痛评分实验组明显低于对照组(穿刺后1min:Z=-12.88,P=0.00;穿刺后5min:Z=-4.18,P=0.00;穿刺后10min:Z=-6.57,P=0.00),差异有显著意义。结论采用改良后的足跟穿刺定位法和血液收集手法能有效提高采血穿刺成功率,缩短采血时间,减轻新生儿疼痛,值得推广。Objective To increase the one-time success rate of collecting infant heel blood and to alleviate newborns＇ pain during the blood collecting. Method 600 cases were randomly divided into the observational group with the modified method, and the control group with the traditional method to go through heel-stick. Result Compared to the control group, the one-time success rate was significantly higher in the observation group than the control group （P〈0.05）. The time for collecting blood and the revised NFCS score at 1 min, 5 rain and 10 min after heel lance procedure were significantly lower in the observation group than the control group（P〈0.05）. Conclusion The modified method is better than the traditional method.

关 键 词：新生儿疾病筛查 采血手法 疼痛 

分 类 号：R473.72[医药卫生—护理学] R472[医药卫生—临床医学]