两种穿刺法在肥胖型婴幼儿股静脉穿刺采血中的对比研究  

Comparative study of two kinds of femoral vein puncture blood collection in obese infants

作　　者：张艳 韩霞 蒋宁静[2] 罗晓[2] 万惠 ZHANG Yan;HAN Xia;JIANG Ningjing;LUO Xiao;WAN Hui(Fuling District People's Hospital,Chongqing 408000,China;Fuling CentralHospital,Chongqing 408000,China;Fuling District Maternal and Child Health CareHospital,Chongqing 408000,China)

机构地区：[1]重庆市涪陵区人民医院,408000 [2]重庆市涪陵中心医院,408000 [3]重庆市涪陵区妇幼保健院,408000

出　　处：《检验医学与临床》2019年第11期1506-1508,共3页Laboratory Medicine and Clinic

基　　金：重庆市涪陵区科技计划项目(FLKW,2017ABB1041)

摘　　要：目的比较45°斜角穿刺法和垂直穿刺法在肥胖型婴幼儿股静脉穿刺采血中的临床效果。方法将87例肥胖型婴幼儿(1个月至3岁)分成两组,试验组采用45°斜角穿刺法进行股静脉穿刺采血,对照组采用垂直穿刺法进行股静脉穿刺采血,观察两组的一次性穿刺成功率、局部淤青及皮下血肿发生率、标本凝血和溶血情况。结果试验组一次性穿刺成功率为73.33%,高于对照组的42.86%,差异有统计学意义(P<0.05)。试验组局部淤青、皮下血肿发生率为0,对照组为35.71%,差异有统计学意义(P<0.05)。试验组标本凝血、溶血发生率为0,对照组为19.05%,差异有统计学意义(P<0.05)。结论采用45°斜角穿刺法进行肥胖型婴幼儿股静脉穿刺采血能提高一次性穿刺成功率,降低局部淤青、皮下血肿发生率,以及标本凝血及溶血发生率,值得推广应用。Objective To compare the clinical effect between 45°oblique angle puncture and vertical puncture in femoral vein puncture blood collection among obese infants.Methods Eighty-seven obese infants(aged 1 month old to 3 years old)were divided into the two groups.The experimental group adopted the 45°oblique angle puncture method to conduct femoral vein puncture blood collection.The control group adopted the vertical puncture method to conduct femoral vein puncture blood collection.The one-time puncture success rate,local bruising and hematoma occurrence rate,sample coagulation and hemolysis situation were observed in the two groups.Results The one time puncture success rate in the experimental group was 73.33%,which was higher than 42.86%in the control group,and the difference was statistically significant(P<0.05).The occurrence rate of local bruising and hematoma was 0 in the experimental group and 35.71%in the control group,and the difference was statistically significant(P<0.05).The occurrence rate of coagulation and hemolysis of specimens was 0 in the experimental group and 19.05%in the control group,and the difference was statistically significant(P<0.05).Conclusion Adopting the 45°oblique angle puncture for conducting the femoral vein puncture blood collection can increase the one time puncture success rate,and reduce the occurrence rate of local bruising,hematoma,specimen coagulation and hemolysis.

关 键 词：斜角穿刺 垂直穿刺 肥胖型婴幼儿 股静脉 采血 

分 类 号：R473.72[医药卫生—护理学]