静脉留置针多点采血在糖耐量试验中的临床应用效果  

Clinical application effect of multi-point blood collection with intravenous indwelling needle in glucose tolerance test

作　　者：初晓芳[1] 薄艳[1] 娄凡 胡晓乐[1] CHU Xiao-fang;BO Yan;LOU Fan;HU Xiao-le(Department of Endocrinology,Dalian Central Hospital,Liaoning Province,Dalian116033,China)

机构地区：[1]大连市中心医院内分泌科,辽宁大连116033

出　　处：《中国当代医药》2020年第31期83-85,89,共4页China Modern Medicine

摘　　要：目的探讨静脉留置针多点采血在糖耐量试验中的临床应用效果。方法选取2019年2~10月于我院进行糖耐量试验的80例患者作为研究对象,应用盲选分组法将其分为对照组和观察组,每组各40例。对照组患者采用常规静脉穿刺方法进行采血操作,观察组患者应用静脉留置针进行多点采血操作。比较两组患者对应采血标本各时间点的血糖水平、收缩压、精神压力和病情严重程度。结果两组患者空腹及服用葡萄糖后30 min、1、2及3 h的血糖水平比较,差异无统计学意义(P>0.05)。采血后,观察组患者各时间点的收缩压均低于对照组,差异有统计学意义(P<0.05)。采血后,观察组患者的精神压力和病情程度评分均低于对照组,差异有统计学意义(P<0.05)。结论糖耐量试验患者采用静脉留置针多点采血方法进行采血处理,可有效避免对其心理状态及血压产生较大影响,并可得到与常规采血方法相似的血糖检测结果,值得进行推广应用。Objective To explore the clinical application effect of multi-point blood collection with intravenous indwelling needle in glucose tolerance test.Methods From February to October 2019,80 patients who underwent glucose tolerance test in our hospital were selected as the research objects and divided into the control group and the observation group by blind selection and grouping method,with 40 cases in each group.In the control group,routine venipuncture was used for blood collection,while in the observation group,intravenous indwelling needle was used for multi-point blood collection.Blood glucose levels,systolic blood pressure,mental stress and disease severity of the two groups were compared at each time point of blood collection.Results There were no statistically significant differences in the blood glucose levels between the two groups on fasting and 30 minutes,1,2 and 3 hours after taking glucose(P>0.05).After blood collection,the systolic blood pressure of the observation group at each time point was lower than that of the control group,the difference was statistically significant(P<0.05).After blood collection,the mental stress and disease severity scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion In patients with glucose tolerance test,the multi-point blood collection method of intravenous indwelling needle is used for blood collection,which can effectively avoid a greater impact on their mental state and blood pressure,and can obtain blood glucose test results similar to conventional blood collection method,which is worthy of popularization and application.

关 键 词：糖耐量试验 静脉留置针 静脉穿刺 

分 类 号：R587[医药卫生—内分泌]