街头采血不良静脉穿刺的原因分析及应对措施.docxVIP

街头采血不良静脉穿刺的原因分析及应对措施 冯峥1吴佩红2 (1武威市人民医院 甘肃武威733000) (2武威市中心血站 甘肃武威733000) 【摘要】目的：调查街头采血不良静脉穿刺与献血者、釆血者、环境及性别 的关系并提出应对措施。方法：对2012年和2013年不良静脉穿刺按献血者、采 血者、环境因素和性别因素进行回顾性调查，并以一针成功率、疼痛感受和皮下 瘀血发牛率等评价指标分析比较，对调查结果及呈相关性的因素进行统计分析。 结果：2012年不良静脉穿刺献血者的因素占68.59% (114/166)、采血者的因素 占20.87% (35/166)、环境因素占10.54%(17/166),其中以献血者的血管条件差 为主;2013 年分别 86.72% (93/107)、9.56% (10/107)及 3.72%(4/107)。2012 年和2013年比较，与采血者因素和环境因素呈相关性，差异有统计学意义 (Plt;0.05),与献血者因素无相关性,无统计学意义(Pgt;0.05)o 2012年和 2013年不良静脉穿刺与性别呈相关性，差异有统计学意义(Plt;0.05)o结论: 不良静脉穿刺与献血者、采血者及环境因素有一定关系；男性献血者占不良静脉 穿刺的比例明显高于女性，采取4项措施后，街头采血不良静脉穿刺率明显下降。 【关键词】街头采血；不良静脉穿刺；原因分析；应对措施 【中图分类号】R综合医学 【文献标识码】A 【文章编号】1007-8231 (2015) 18-0239-02 [Abstract] Purpose To investigate the street bad blood vein puncture and blood donors, blood, the relati on ship betwee n envir onment and gen der and corresponding measures are put forward? Method For adverse venipuncture in 2012 and 2013, according to the blood donors, blood factors, environmental factors and gender were retrospectively investigation, and with a success rate of the needle, pain and the incidenee of subcutaneous blood stasis evaluation index analysis and comparison, the result of the investigation and the correlation factors were analyzed. Results Adverse factors of venipuncture blood donors in 2012 accounted for 68.59% (114/166), blood factors accounted for 20.87% (35/166), environmental factors accounted for 10.54% (17/166), which is given priority to with poor blood vessels condition; In 2013 were 86.72% (93/107), 86.72% (10/107) and 3.72% (4/107). In 2012 and 2013, and in pursuance of the correlation factors and environmentai factors, the d iff ere nee was statistically sign ifica nt (P lt; 0.05), and blood donor factors no correlation, no statistical significanee (P gt; 0.05). In 2012 and 2013, bad venipun cture and gen der show correlation, the d iff ere nee was statistically sign 讦 icant (P lt; 0.05). Conclusion Poor vein puncture and blood donors, blood and the environ mental factors have a certai