新生儿股静脉采血方法探讨

Methods of neonatal femoral vein blood

目的提高新生儿股静脉穿刺采血的成功率，减少并发症的发生。方法采用传统穿刺法即直进针法和股静脉体表投影点斜角穿刺法进行采血，比较一次成功率和并发症的发生率。结果股静脉体表透影穿刺法一次成功率为90．9％，发生局部瘀斑仅3例，发生率4．5％，没有1例发生血肿。传统穿刺法一次成功率仅为74．2％，发生局部瘀斑为23例，发生率为34．8％；发生血肿为2例，发生率为3％。两组比较P〈O．05，有显著性差异。结论股静脉体表透影穿刺法明显优于传统穿刺法即直进针法。

Objective Neonatal Unit to improve the success rate of venipuncture blood and reduce the incidence of complications. Methods Using the traditional method that is straight into the puncture needle and the surface projection of the femoral vein puncture for b｜ood sampling point angle, a success rate and compare the incidence of complications..Results Femoral vein punctui-e the body surface through the film a success rate of 90.9%, local ecehymosis occurred only in 3 eases, the incidence of 4.5%, not 1 ease of hematoma. A traditional puncture success rate was only 74.2%, the occurrence of 23 cases of local ecchymosis, the rate was 34.8%; hematoma in 2 cases, the rate was 3%. The two groups P 〈0.05, significant difference.Conclusions Film surface through the femoral vein puncture is superior to conventional puncture needle straight.