摘要
目的 比较采集危重患者血气标本股动脉与足背动脉两个不同部位的临床效果.方法 对ICU112例APACHEⅡ评分在27～43分的危重患者,分别选用5号针头1 ml注射器行足背动脉采血法与7号针头5 ml注射器行股动脉采血法,对两种采血方法的临床效果进行比较.结果 两种采血方法的血气分析的结果差异无统计学意义（P＞0.05）;股动脉一针穿刺成功例数大于足背动脉（110 vs100,χ2=14.23,P＜0.05）,两个采血部位在误穿静脉、血肿形成、血栓形成、按压时间方面比较差异均有统计学意义（12 vs 1,7 vs 0,6 vs 0,5.5±0.7 vs 2.5±0.5;χ2=9.32,5.99,4.85,t=38.06,P＜0.05）.结论 应根据患者的病情采取个体化的采血方案,经股动脉采血时需加强并发症的预防,提高临床护理质量.
Objective To evaluate the effectiveness of blood gas analysis in samples from two regions.Methods 112 patients with APACHE Ⅱ scores 27 ～ 43 were taken arterial blood from dorsalis pedis artery and femoral artery respectively. Compare the clinical effect of the samples. Results There is no statistically significant difference between results of two blood collection methods （ P 〉 0. 05 ）, While there is statistically significant difference in puncture success （ 110 vs 100, χ2 = 14.23, P 〈 0. 05 ）, vein mistaken injury, hematoma formation, thrombosis, and compression time （ 12 vs 1,7 vs 0,6 vs 0,5.5 ±0.7 vs 2.5 ±0.5 ;χ2 =9.32,5.99,4.85,t = 38. 06, P 〈 0. 05 ）. Conclusions Blood collection method should be determined by the different situation of critically ill patients. Femoral artery blood sample should be taken with caution in order to prevent complication and improve quality of nursing care.
出处
《中华现代护理杂志》
2011年第11期1256-1258,共3页
Chinese Journal of Modern Nursing
关键词
危重患者
足背动脉
股动脉
血气分析
Critically ill patient
Dorsalis pedis artery
Femoral artery
Blood gas analysis
