摘要
目的探讨血气分析动脉血标本采取的部位选择,以提高护士的工作效率。方法选取我科2015年3月~2017年8月收治的72例采集动脉血标本患者作为研究对象,随机分为对照组和观察组,每组各36例。对照组患者选择股动脉采集动脉血标本,行血气分析化验。观察组患者选择肱动脉采集动脉血标本,行血气分析化验。对两组患者依从性、一次性动脉采血的成功率、疼痛情况、皮下血肿发生率、皮肤瘀青发生率等进行比较。结果观察组患者依从率为为94.4%,对照组依从率为80.5%,差异有统计学意义(P<0.05)。观察组的一次性动脉采血的成功率为91.7%,显著高于对照组的80.6%,差异有统计学意义(P<0.05)。疼痛情况两组比较,差异有统计学意义(P<0.05)。观察组患者不良反应发生率为8.4%,对照组不良反应发生率为13.9%,差异有统计学意义(P<0.05)。结论肱动脉采集动脉血标本与股动脉采集动脉血标本比较,可明显提高患者依从性、一次性动脉采血成功率,减轻穿刺局部疼痛,降低皮下血肿、皮肤淤青等不良反应,值得临床推广应用。
Objective To explore the selection of arterial blood sampling sites for blood gas analysis,so as to improve the work efficiency of nurses.Methods 72 patients receiving arterial blood sampling who were admitted to our department from March 2015 to August 2017 were selected as study subjects and randomly divided into control group and observation group,36 patients in each group.Arterial blood samples were collected from the femoral artery in the control group for blood gas analysis.Arterial blood samples were collected from brachial artery for blood gas analysis in the observation group.The patients＇compliance,the success rate of one-time arterial blood sampling,pain,the incidence of subcutaneous hematoma,and the incidence of skin bruise were compared between the two groups.Results The compliance rate was 94.4% in observation group and 80.5% in control group,and the difference Was statistically significant （P〈 0.05）.The successful rate of one-time arterial blood sampling in the observation group was 91.7%,which was signifi- cantly higher than that in the control group （80.6%）.The difference was statistically significant （P〈0.05）.There were sta- tistically significant differences in the pain between the two groups （P〈0.05）.The adverse reaction rate in the observation group was 8.4%,and the adverse reaction rate was 13.9% in the control group.The difference between the two groups was statistically significant （P〈0.05）.Conelusion Compared with the arterial blood samples collected from femora] artery,the samples collected from brachial artery can obviously improve the compliance of patients,the success rate of one-time arterial blood sampling,relieve the local pain caused by puncture,reduce adverse reactions such as subcutaneous hematoma and skin bruising,which is worthy of clinical promotion and application.
出处
《中国当代医药》
2018年第6期179-181,共3页
China Modern Medicine
关键词
肱动脉
动脉血标本采集
血气分析
依从性
Brachial artery
Arterial blood sampling
Blood gas analysis
Compliance
