新生儿疾病筛查血斑采集方法的改良与应用.docVIP

新生儿疾病筛查血斑采集方法的改良与应用 ［］目的探究改良后的血斑采集血液方法 在新生儿疾病筛查过程中的应用及效果。方法第一 阶段回顾性选取2013年4月?2014年6月在我院 接受筛查的新生儿2826例，根据出生日期单双号将其 分为实验组A （单号，n=1398）和对照组A （双号， n=1428）o对照组A采用常规方法进行采血，实验组 A采用利多卡因涂擦加足跟定位斜刺法（改良法）进 行采血。第二阶段回顾性选取2014年7月?2015 年3月在我院接受筛查的新生儿2526例，根据出生日 期单双号将其分为实验组B （单号，n=1398）和对照 组B （双号，n=1128）。对照组B采用利多卡因涂擦 加足跟定位斜刺法进行采血，实验组B采用大隐静脉 抽0.1 ml血液后滴在血片上制成血斑的方法进行采 血。比较4组新生儿一次采血的成功率及滤纸干血斑 质量情况。结果第一阶段实验组A的一级血片率、 血片合格率、一次采血成功率分别为88.70%、99.50%、 95.00%,高于对照组 A 的 41.20%、86.80%、63.00%, 差异有统计学意义（P ［关键词］改良；采血；筛查；新生儿；滤纸干血 ［］R722.1 ［］A ［］ 1674-4721 (2016) 04 (b) -0174-03 ［Abstract］ Objective To explore the application and effects of beyond bloodstain blood collected method in newborns disease screening. Methods The first phase 2826 newborn babies who screened in our hospital from April 2013 to June 2014 were selected retrospectively.They were divided into the experimental group A (odd numbers、 n=1398) and control group A (even numbers，n=1428) according to the date of birth.In the control group A, the routine method was used to carry out blood collection.In the experimental group A, lidocaine plus heel inunction orientation oblique insertion (improved method) was used for blood.The second phase 2526 newborn babies who screened in our hospital from July 2014 to March 2015 were selected retrospectively.They were divided into the experimental group B (odd numbers, n= 1398) and control group B (even numbers, n=l 128) according to the date of birth.In the control group B, lidocaine plus heel inunction orientation oblique insertion (improved method) was used for blood.The experimental group B was treated with great saphenous vein pumping 0.1 ml blood drops in blood after the blood spot piece made of blood.The success rate of blood sampling and the quality of dried blood spot of filter paper were compared among the 4 groups? Results The first phrase the rate of first grade blood, blood film pass rate, the success rate of blood sampling in the experimental group A were 88.70%, 99.50%, 95.00%, higher