外周中心静脉置管抽血与外周静脉抽血对凝血功能检测的影响  

Influence of peripherally inserted central catheter phlebotomizing and venipuncture phlebotomizing on detection of coagulation function

作　　者：甘雁鸿 李龙坤[1] 龚桂芝[1] 

机构地区：[1]第三军医大学新桥医院泌尿外一科,重庆400037

出　　处：《局解手术学杂志》2016年第8期566-569,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金面上项目(81170705)

摘　　要：目的 通过比较经外周中心静脉置管（PICC）抽取血液样本与传统的外周静脉穿刺（VP）抽取血液样本对凝血功能检测结果的影响,明确PICC法取血检验的可行性。方法 采用平行对照试验,对同一个患者抽取2份血液样本,按抽血方式分为PICC组和VP组。相关性分析使用皮尔逊配对样本t检验和Bland-Altman分析。结果 对5项凝血功能指标的检测发现,PICC组与VP组的结果呈高度相关,相关性系数为0.990~0.997。Bland-Altman分析得到的均值偏倚都较接近0。结论 PICC法与传统VP法在对凝血功能检测的5项指标中具有明显的相关性和一致性,PICC抽血检测凝血功能是可行的。Objective To test the influence of peripherally inserted central catheter （PICC） phlebotomizing and venipuncture （VP） phlebotomizing on detection of coagulation function, so as to comfirm the feasibility of PICC. Methods Took 2 blood samples from the same patient, and divided the blood samples in to the PICC group and the VP group according to the methods of phlebotomizing to adopt a parallel controlled trial. Pearson correlation analysis and Bland-Altman analysis were taken during the following research. Results The 5 items of blood coagulation indexes testing showed that the results of PICC group and VP group were highly correlated, and the correlation coefficient was 0. 990 to 0. 997. The mean biases obtained by Bland-Altman analysis were closer to O. Conclusion PICC and traditional method of VP showed obvious correlation and accordance in terms of the 5 indexes of coagulation function detection, which indicated that PICC is feasible for coagulation function detection.

关 键 词：PICC VP 凝血功能 静脉穿刺 

分 类 号：R473.6[医药卫生—护理学]