两种体位下新生儿疾病筛查足跟采血效果的对比研究  

Comparative study on the effect of heel sampling for newborn disease screening in two kinds of postures

作　　者：兰秀秀[1] 陈小姣[1] LAN Xiu-xiu;CHEN Xiao-jiao(Maternal and Child Health Care Hospital of Baoan District in Shenzhen City,Guangdong Province,Shenzhen 518111,China)

机构地区：[1]深圳市宝安区妇幼保健院,广东深圳518111

出　　处：《中国当代医药》2018年第17期93-96,共4页China Modern Medicine

摘　　要：目的对比研究两种体位下新生儿疾病筛查足跟采血的效果。方法选取200例我院产科2016年10月~2017年10月出生的足月健康新生儿,所有新生儿均进行足跟采血疾病筛查,根据随机数字表法将其分为对照组(n=100)、观察组(n=100)。对照组应用传统的平卧位行足跟采血,观察组应用手环抱法使新生儿呈头高足低位足跟采血,分析两组的采血效果。结果观察组血斑直径大于对照组,采血所需时间短于对照组,差异有统计学意义(P<0.05)。观察组患儿一次采血成功率高于对照组,足跟瘀血发生率低于对照组,挤压足跟次数少于对照组,差异均有统计学意义(P<0.05)。观察组患儿穿刺时心率低于对照组,血氧饱和度高于对照组,差异有统计学意义(P<0.05)。观察组肢体活动度、面部表情疼痛、声音表现疼痛评分均低于对照组,差异有统计学意义(P<0.05)。结论在新生儿疾病筛查足跟采血中采用手环抱法使新生儿头高足低位采血效果较好,临床应用价值较高。Objective A comparative study of the effects of screening for heel blood in neonatal disease screening under two postures.Methods A total of 200 healthy newborns born in our hospital from October 2016 to October 2017 were randomly selected.All newborns were screened for heel blood collection disease.According to the random number table method,they were divided into control group（n=100） and observation group（n=100）.The control group was used the traditional heel blood supine position,the observation group was used arms make a head low to high neonatal heel blood collection,analysis of the two groups of blood collection results.Results The blood spot diameter of the observation group was greater than that of the control group,and the blood collection time was shorter than that of the control group,with a significant difference（P〈0.05）.The success rate of blood sampling in the observation group was higher than that in the control group.The incidence of heel blood stasis was lower in the observation group than in the control group.The heel pressure was lesser than that in the control group,and the differences were statistically significant（P〈0.05）.The puncture heart rate of the observation group was lower than that of the control group, and the oxygen saturation was higher than that of the control group,with a significant difference（P〈0.05）.The limb movement,facial expression pain scores,voice performance pain of the observation group were all lower than those of the control group（P〈0.05）.Conclusion In the screening of neonatal diseases heel blood collection.the use of hand-wounding method makes the neonatal head high and low position blood collection effect is good,and the clinical application value is higher.

关 键 词：平卧位 头高足低位 新生儿 疾病筛查 足跟采血 采血效果 

分 类 号：R473.72[医药卫生—护理学]