转接型防针刺采血针在血透患者采血中的应用  

Application and effect of transfer type anti-acupuncture needle in blood collection of hemodialysis patients

作　　者：曾志力[1,2] 林美珍 林璟华[1] 于红静[4] 温跃强[1] 陈秀梅[1] 肖雅倩[1] 

机构地区：[1]广州医科大学附属第二医院肾内血液净化中心,广州510260 [2]湖南中医药大学护理学院,长沙410208 [3]广东省中医院护理部,广州510120 [4]广州医科大学附属第二医院护理部,广州510260

出　　处：《实用医学杂志》2018年第2期320-323,共4页The Journal of Practical Medicine

基　　金：广东省医学科学研究基金项目(编号:A2017300);广州市医药卫生科技项目(编号:20171A010306)

摘　　要：目的通过发明和应用新的采血针,提高血透患者采血工作效率。方法将180例血透患者随机分为对照一组(CG1组)、对照二组(CG2组)、试验组(EG组)中,比较3个组中的采血时间、存在针刺伤风险的操作次数、存在血标本污染的操作次数。结果 3组中的采血时间、存在针刺伤风险的操作次数、存在血标本污染的操作次数存在统计学差异(P<0.05),其中CG1组的采血时间最长(12.55 min),EG组的采血时间最短(5.09 min);CG2组存在针刺伤风险的操作次数最高,EG组最低;CG1组的血标本污染操作次数和血标本量不准确的数量最高,EG组最低。结论转接型防针刺采血针在血透患者血标本的采集的工作效率明显优于传统采血方法,且有利于降低采血过程中针刺伤的风险和血标本受污染的风险,值得推广使用。Objective To improve the efficiency of blood collection in hemodialysis patients by inventing and applying new blood collection needles. Methods One hundred and eighty cases of hemodialysis patients were randomly divided into control group 1 （CG1） , control group 2 （CG2）, experimental group （EG）. Comparison of the three groups in time of blood collection, the number of operation that had the risk of acupuncture injury and the number of the blood samples that had been contaminated. Results There were statistically significant difference （ P 〈 0.05 ） in three groups. The number of times of blood collection in the number of operations that had the risk of acupuncture injury, and the number of the blood sample that had been contaminated. CG1 had the longest blood collection time （12.55 min）, EG had the shortest blood collection time （5.09 min） ; the risk of acupuncture injury was the highest in CG2 and the lowest in the EG. The number of contamination of blood samples and the amount of inaccurate sample in CG1 were the highest, and the lowest in the EG. Conclusions The working efficiency of transfer type anti-acupuncture needle （TTAN） during blood sample collection in hemodialysis patients is signifi- cantly better than that of traditional blood collection method, and it is helpful to reduce the risk of acupuncture injury and the risk of contamination in blood samples, which is worthy of promotion.

关 键 词：转接型防针刺采血针 针刺伤 血液透析 血标本 

分 类 号：R473.5[医药卫生—护理学]