四分之一定位联合触摸法在新生儿桡动脉采血中的应用  

Application of quarter positioning combined with touch method in neonatal radial artery blood collection

作　　者：游丽霞 张红梅 童孝笑 张鹏 You Lixia;Zhang Hongmei;Tong Xiaoxiao;Zhang Peng(Department of Neonatology,Hangzhou Children′s Hospital,Hangzhou 310014,China)

机构地区：[1]杭州市儿童医院新生儿科,310014

出　　处：《中国实用护理杂志》2020年第16期1231-1234,共4页Chinese Journal of Practical Nursing

摘　　要：目的:探讨四分之一定位联合触摸法在新生儿桡动脉采血中的效果。方法:选择杭州市儿童医院2018年9月至2019年4月入院的新生儿100例作为研究对象,对2018年9-12月收治的50例新生儿采用触摸法行桡动脉初次采血设为对照组,对2019年1-4月收治的新生儿50例采用四分之一定位联合触摸法行桡动脉初次采血设为观察组。观察2组一次采血成功率、采血时间、皮下出血范围和新生儿疼痛评估量表(NIPS)评分。结果:观察组一次采血成功率为90%(45/50)、皮下出血范围占比为20%(10/50)、采血时间为(1.99±0.32)min,对照组分别为70%(35/50)、56%(28/50)、(4.99±0.22)min,2组比较差异有统计学意义(χ^2值为6.25、13.75,t值为54.627,均P<0.05)。NIPS评分观察组0~3分38例、4~7分12例,对照组分别为25、25例,2组比较差异有统计学意义(χ^2值为7.25,P<0.01)。结论:四分之一定位联合触摸法桡动脉采血技术具有直观、简单易行、节省时间,适合在新生儿病房推广应用。Objective To investigate the effect of quarter positioning combined with touch method in the blood collection of radial artery in newborn.Methods A total of 100 cases of neonates admitted to Hangzhou Children′s Hospital from September 2018 to April 2019 were selected as subjects.For the 50 newborns admitted from September to December 2018,the first blood collection of the radial artery was performed by touch method(as the control group).For the 50 neonates admitted from January to April 2019,the first blood collection was performed using the quarter positioning combined touch method(as the observation group).The success rate of one-time blood sampling,blood collection time,subcutaneous bleeding range and neonatal pain assessment scale(NIPS)scores of the two groups were observed.Results The success rate of blood collection was 90%(45/50),the time of blood collection was(1.99±0.32)min,the proportion of subcutaneous hemorrhage was 20%(10/50)in the observation group,and 70%(35/50).(4.99±0.22)min,and 56%(28/50)in the control group.The difference between the two groups was statistically significant(χ^2 value was 6.25,13.75,t value was 54.627,both P<0.05).38 cases and 12 cases with NIPS scores of 0-3 and 4-7 were in observation group,and 25 cases and 25 cases in the control group respectively.The difference between the two groups was statistically significant(χ^2 value was 7.25,P<0.01).Conclusion Quarter positioning combined touch method in neonatal radial artery blood collection is intuitive,simple and time-saving,which is suitable for promotion and application in neonatal wards.

关 键 词：四分之一定位 触摸法 桡动脉采血 新生儿 

分 类 号：R473.72[医药卫生—护理学]