划线定法穿刺在婴幼儿桡动脉采血中的应用效果  

Effect of drawing-line puncture on blood collection from radial artery in infants

作　　者：纪鑫[1] 付洪杰[1] 邢秀桂 姬敬华 李玉娇[1] JI Xin;FU Hong-jie;XING Xiu-gui;JI Jing-hua;LI Yu-jiao(Department of Pediatric Respiratory Medicine,Affiliated Hospital of Binzhou Medical College,Shandong Province,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院儿童呼吸科,山东滨州256600

出　　处：《中国当代医药》2021年第30期123-126,共4页China Modern Medicine

摘　　要：目的探讨划线定法穿刺在婴幼儿桡动脉采血中的应用效果。方法回顾性选取2016年3月至2020年3月滨州医学院附属医院儿童呼吸科收治的具有桡动脉采血需求的256例患儿作为观察对象,按照采血方法不同分为观察组和对照组,每组各128例。对照组采用传统穿刺法采血,观察组采用划线定法穿刺采血,比较两组患儿的一次性穿刺成功率、穿刺效果、不良事件总发生率及家属满意度。结果观察组一次性穿刺成功率高于对照组,差异有统计学意义(P<0.05);观察组穿刺时间短于对照组、肿胀直径小于对照组,差异有统计学意义(P<0.05);观察组穿刺不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组家属满意度高于对照组,差异有统计学意义(P<0.05)。结论划线定法穿刺应用于患儿桡动脉采血中,不仅能提高一次性穿刺成功概率,还能减少患儿穿刺时间,减轻创伤,且患儿穿刺不良反应少,家属满意度高,对改善护患紧张关系有积极影响,整体干预效果显著,值得推广。Objective To investigate the effect of drawing-line puncture on blood collection from radial artery in infants.Methods From March 2016 to March 2020,256 children with radial artery blood collection needs admitted to Department of Pediatric Respiratory Medicine of Affiliated Hospital of Binzhou Medical College were selected retrospctively as observation objects.According to different blood collection methods,they were divided into observation group and control group,each group had 128 cases.In the control group,the traditional puncture method was used to collect blood,and the observation group used the drawing-line puncture method to collect blood.The success rate,puncture effect,total incidence of adverse events and family satisfaction of the two groups were compared.Results The success rate of one-time puncture in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the puncture time in the observation group was shorter than that in the control group,the swelling diameter was smaller than that in the control group,the differences were statistically significant(P<0.05);the incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05),and the satisfaction degree of family members in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of drawing-line puncture on blood collection from the radial artery in infants can not only increase the probability of one-time puncture success,but also reduce the puncture time and trauma of the infants.There are fewer adverse reactions to the puncture and higher family satisfaction,which is helpful for improving tension between nurses and patients,the overall intervention effect is significant,and it is worthy of promotion.

关 键 词：划线定法穿刺 桡动脉采血 婴幼儿 应用 

分 类 号：R473.72[医药卫生—护理学]