摘要
目的:探讨小儿肘部静脉真空采血"三点一线"固定方法的成功率及皮下瘀血发生率。方法:将986例小儿肘部静脉采血随机分为观察组和对照组各493例,观察组采用"三点一线"固定方法,对照组采用常规肘部静脉采血固定法,比较两组在静脉条件相当采血的成功率、皮下瘀血发生率及回血通畅率。结果:观察组一次采血成功率为99.0%,显著高于对照组81.3%,二次穿刺后总成功率观察组100.0%,高于对照组93.5%(P<0.05);观察组静脉回血通畅率97.4%,高于对照组72.6%(P<0.05);观察组皮下瘀血发生率1.0%,明显低于对照组6.9%(P<0.05)。结论:小儿肘部静脉采血过程中掌握好"三点一线"固定方法,可提高静脉采血的成功率,减少皮下瘀血的发生。
Objective：To explore the success rate and incidence of subcutaneous congestion on children elbow vein vacuum blood collection by ＂3.1＂fixed method.Methods：986cases of children with elbow venous blood collection were randomly divided into observation group and control group,493 cases in each group.The observation group was treated with ＂3.1＂fixing method,the control group using conventional method of fixed elbow venous blood.The success rate of blood collection,incidence of subcutaneous congestion and venous blood return rate were compared.Results：In the observation group,one blood taking success rate was 99.0%,significantly higher than that in control group 81.3%.The total successful rate after second puncture was 100.0%,higher than that of the control group 93.5%（P〈0.05）.The observation group venous blood return rate was 97.4%,higher than that of the control group 72.6%（P〈0.05）.The subcutaneous congestion of observation group was 1.0%,significantly lower than that of the control group 6.9%（P〈0.05）.Conclusion：During children elbow vein blood collection,to master the＂3.1＂fixation technique,can significantly improve the success rate of venous blood collection to reduce the incidence of subcutaneous congestion.
出处
《华夏医学》
CAS
2014年第5期75-78,共4页
Acta Medicinae Sinica
关键词
肘部静脉
固定方法
真空采血
elbow vein
fixed method
vacuum blood collection
