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新生儿肱动脉体表解剖定位穿刺法的临床研究与应用

Clinical Study and Application of New Method for Brachial Artery Puncture in Neonates
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摘要 目的:比较不同新生儿肱动脉穿刺成功率、操作时间、穿刺后并发症的发生率。方法:选择需进行动脉采血的新生儿为研究对象,随机分为观察组与对照组,观察组采用体表解剖定位穿刺法;对照组采用常规方法即用食指触摸肱动脉进行定位穿刺,分别记录一次穿刺成功的例数、操作时间、穿刺后并发症发生的例数。结果:两组一次穿刺成功率比较,观察组91.07%,对照组75.00%,观察组平均操作时间(2.15±0.67)min,对照组(3.30±0.64)min,观察组局部淤血发生率14.29%,对照局部淤血发生率33.93%,差异均有统计学意义(P<0.05)。结论:新生儿肱动脉体表解剖定位穿刺成功率较常规方法具有一次穿刺成功率高、操作时间短、穿刺后并发症的发生率低的优点。 Objective:To compare the successful rate,operation time and complication rate of neonatal brachial artery puncture.Method:Neonates needing arterial blood sampling were randomly divided into the observation group and the control group.The observation group was treated with body surface anatomical puncture,while the control group was treated with routine method,i.e.touching the brachial artery with index finger.The number of successful punctures, operation time and complications after puncture were recorded respectively.Result:The success rate was 91.07% in the observation group and 75.00% in the control group.The average operation time was(2.15±0.67)min in the observation group and(3.30±0.64)min in the control group.The incidence of local congestion was 14.29% in the observation group,and 33.93% in the control group,there were significant differences in two groups(P〈0.05).Conclusion: The success rate of puncture of brachial artery surface anatomy in neonates is higher than that of routine puncture, and the operation time is shorter, and the incidence of complications after puncture is lower.
作者 邓云珍 许清华 林惠香 DENG Yunzhen;XU Qinghua;LIN Huixiang(First Affiliated Hospital of Sanming,Fujian Medical University,Sanming 365000,China)
出处 《中外医学研究》 2018年第29期86-88,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 新生儿 肱动脉穿刺方法 对比分析 Neonatal Brachial artery puncture Comparison analysis
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