600例动脉采血的成功率和安全性分析

Analysis of success rate and safety of artery blood-collection in 600 cases

目的:分析股、桡、肱动脉采血的成功率和不良反应,为临床工作提供借鉴。方法:选择2013年7月-2013年9月收治的600例需动脉采血的患者,随机分为股动脉采血组(股动脉组,120例),桡动脉采血组(桡动脉组,240例),肱动脉采血组(肱动脉组,240例),比较三组的穿刺成功率与不良反应发生率。结果:股动脉组和肱动脉组穿刺成功率明显高于桡动脉组(95.00%、92.92%比86.67%,P均<0.01),股动脉组和肱动脉组间无显著差异(P>0.05);股动脉组不良反应发生率显著高于桡动脉组和肱动脉组(11.67%比5.83%、5.00%P均<0.01),桡动脉组和肱动脉组间无显著差异(P>0.05)。结论:综合判断:肱动脉采血成功率较高,不良反应发生率较低,可作为动脉采血的首选。

Objective：To analyze the success rate and safety of artery blood-collection from related artery and provide reference for clinical work.Methods：A total of 600 patients in need of artery blood-collection,who visited to our hospital from Jul 2013 to Sep 2013,were selected.They were randomly divided into femoral artery blood-collection group（n=120,femoral group）,radial artery blood-collection group（n=240,radial group）and brachial artery blood-collection group（n=240,brachial group）.Success rate of puncture and incidence rate of adverse reactions were compared among three groups.Results：Success rates of puncture in femoral group and brachial group were significantly higher than that of radial group（95.00%,92.92% vs.86.67%,P〈0.01all）,there was no significant difference between femoral group and brachial group,P〈0.05;incidence rate of adverse reactions in femoral group was significantly higher than those of radial group and brachial group（11.67% vs.5.83%,5.00%）,there was no significant difference between radial group and brachial group,P〈0.05.Conclusion：Synthetic judgment：Success rate of puncture is higher and incidence rate of adverse reactions is lower for brachial artery blood-collection,so it may be regarded as preferred.