两种动脉采血法在新生儿科应用中比较.docVIP

两种动脉采血法在新生儿科应用中的比较 　　[摘要] 目的 探讨桡动脉采血和股动脉采血两种采血法在新生儿科应用中的临床效果。方法 将我院儿科NICU收治200例患儿随机分为观察组和对照组（各100例），观察组采用桡动脉采血法采集血气标本，对照组采用股动脉采血法采集血气标本。结果 观察组一次穿刺成功率明显高于对照组（P0.05），误入静脉率明显低于对照组（P0.05），发生血肿或瘀斑的比例均较之对照组低（P0.05），重度疼痛率明显低于对照组（P0.05）；且观察组穿刺时间明显短于对照组，两组比较差异具有统计学意义（P0.05）。结论 桡动脉采血较之股动脉采血时对患儿的不良影响明显要小，具有操作方便、安全、简单、穿刺成功率高等优点，值得推广应用。 　　[关键词] 新生儿科；桡动脉采血；股动脉采血；血气分析 　　[中图分类号] R473.72 [文献标识码] B [文章编号] 2095-0616（2014）07-131-03 　　Comparison of two kinds of arterial blood sampling method applicated in neonatology 　　HUANG Jinfang HUANG Chan LI Xuefen 　　Department of Paediatrics，Luoding Maternal and Child Health-Care Hospital of Guangdong Province，Luoding 527200，China 　　[Abstract] Objective To investigate clinical effect of radial artery and femoral artery blood sampling method which were used to neonatology.Methods 200 cases of children were randomly divided into observation and control group（each of 100 cases），who received treatment in our pediatric NICU. Radial artery blood method was taken to collect blood samples of observation group，and femoral artery blood method was taken to collect blood samples of control group. Results Successful rate of puncture of observation group was Significantly higher than control group（P0.05）. Vein strayed rate was Significantly lower than control group（P0.05）.Proportion of hematoma or ecchymosis was lower than control group（P0.05）. Severe pain was significantly lower than the control group （P0.05）. Puncture time of observation group was also significantly shorter than the control group，with a statistically significance（P0.05）. Conclusion Compared with femoral artery blood，adverse effects on children of radial artery blood is significantly smaller. Its advantages conclude convenient operation，safety，simple and puncture success rate，which is worthy of application. 　　[Key words] Neonatology；Radial artery blood；Femoral artery blood；Blood gas analysis 　　血气分析能够反映出新生儿机体的呼吸和代谢功能，是协助医生进行新生儿疾病诊断与治疗提供可靠的诊疗依据和参考价值[1]，对判断低氧血症、指导氧疗和调节机械通气的各项参数等具有十分重要意义