新生儿疾病筛查中采血方法的探讨及体会

Research on the method of blood specimen collection to newborns for disease screening

目的:探讨新生儿疾病筛查中沐浴后采集新生儿足跟血的作用,并与不沐浴直接按摩足部采血比较。方法:选择2006年12月～2008年2月在产科足月分娩的212例新生儿,随机分为AB两组,A组为沐浴后采血,B组为不沐浴但进行足部按摩后采血。结果:A组(沐浴后)采血成功率高于B组(不沐浴)。结论:通过新生儿沐浴可使其全身血液循环加快,末梢血管扩张,四肢温暖,新生儿沐浴后采血效果优于单纯足部按摩后采血,提高了一次采血成功率,减少了新生儿痛苦。

Objective： To discuss the function of collecting heel blood to newborns after bathing for disease screening, and compare the results of the experiments made on the newborns after bathing and thee after massaging instead of bathing. Methods： Experimenting on the 212 full-term delivered newborns who were born dining the period from December 2006 to February 2008 in our hospital. Divide the newborns into group A and group B randomly. Bathing the newborns in group A and massaging those in group B respecfivdy before collecting blood. Resils： The success rate of blood collection in group A is higher than that in group B. Conclusion： Sathing the newborns has the advantage of speeding up systemic blood circulation, expanding peripheral vascular and warming limbs; the effect of blood specimen collection to the newborns after bathing is superior to those without bathing; moreover, the success rate of one-time blood specimen collection is increased, and the pain of newborns is alleviated.