不同年龄儿童的静脉采血方法对比研究

Comparative Study on Venous Blood Collection Methods in Children of Different Ages

目的0~6岁不同年龄段儿童的静脉采血方法对比研究。方法选取周口市中医院2021年5月至2022年8月收治需静脉采血的600例0~6岁不同年龄段儿童,按照不同年龄分为0~3岁组和4~6岁组,各300例。将0~3岁组需要采血的小儿,随机分为三组,分别采取颈外静脉、颞浅静脉和肘静脉采血,各100例;4~6岁组需要采血的小儿,随机分为三组,分别采取颈外静脉、内踝静脉和肘静脉采血,各100例。比较两个年龄段各组患儿不同抽血方法一次成功率以及家属满意度和两个年龄段各组患儿不同抽血方法所用时间以及疼痛程度。结果0~3岁组颈外静脉采血一次成功率为97.00%,颞浅静脉采血一次成功率为85.00%,肘静脉采血采血一次成功率为79.00%,颈外静脉采血一次成功率较高,差异有统计学意义(P<0.05);0~3岁组颈外静脉采血家属满意度为95.00%,颞浅静脉采血家属满意度为82.00%,肘静脉采血家属满意度为75.00%,颈外静脉采血家属满意度较高,差异有统计学意义(P<0.05)。4~6岁组颈外静脉采血一次成功率为73.00%,内踝静脉采血一次成功率为87.00%,肘静脉采血采血一次成功率为98.00%,肘静脉采血一次成功率较高,差异有统计学意义(P<0.05);4~6岁组颈外静脉采血家属满意度为72.00%,内踝静脉采血家属满意度为85.00%,肘静脉采血家属满意度为97.00%,肘静脉采血家属满意度较高,差异有统计学意义(P<0.05);0~3岁组颈外静脉采血法所用时间及疼痛程度均是三种方法里较低的,差异有统计学意义(P<0.05);4~6岁组肘静脉采血法所用时间及疼痛程度均低于其余两种,差异有统计学意义(P<0.05)。结论0~3岁儿童采用颈外静脉采血法较好,4~6岁的儿童采用肘静脉采血法较好。

Objective A comparative study of the methods of venous blood collection in children of different ages from 0 to 6 years old.Methods A total of 600 children aged 0 to 6 years who were admitted to Zhoukou Hospital of Traditional Chinese Medicine from May 2021 to August 2022 requiring venous blood collection were selected and divided into groups aged 0 to 3 years and 4 to 6 years,with 300 cases each.The children in the 0 to 3 years old group who required blood collection were randomly divided into three groups of 100 each,with blood collected from the external jugular vein,superficial temporal vein,and cubital vein respectively;the children in the 4 to 6 years old group who required blood collection were randomly divided into three groups of 100 each,with blood collected from the external jugular vein,internal ankle vein,and cubital vein respectively.The one-time success rate and family satisfaction of different blood sampling methods in the two age groups were compared,as well as the time spent and pain degree of different blood sampling methods in the two age groups.Results The one-time success rate of external jugular vein blood collection was 97.00%,the one-time success rate of superficial temporal vein blood collection was 85.00%,the one-time success rate of cubital vein blood collection was 79.00%,the one-time success rate of external jugular vein blood collection was higher,the difference was statistically significant(P<0.05).Family satisfaction of external jugular vein blood collection was 95.00%,the family satisfaction of superficial temporal vein blood collection was 82.00%,the family satisfaction of cubital vein blood collection was 75.00%,and the satisfaction of external jugular vein blood collection was higher,and the difference was statistically significant(P<0.05).The one-time success rate of external jugular vein blood collection was 73.00%,the one-time success rate of medial malleolus vein blood collection was 87.00%,the one-time success rate of cubital vein blood collection was 98.00%,and the one-time success rate of cubital vein blood collection was higher,the difference was statistically significant(P<0.05).In the 4-6 years old group,the family satisfaction with external jugular vein blood collection was 72.00%,the family satisfaction with medial malleolar vein blood collection was 85.00%,and the family satisfaction with cubital vein blood collection was 97.00%.The family satisfaction with cubital vein blood collection was higher,and the difference was statistically significant(P<0.05).The time and pain of external jugular vein sampling in the 0-3 years old group were lower among the three methods,and the difference was statistically significant(P<0.05).The time and pain degree of cubital vein blood collection in the 4 to 6 years old group were lower than the other two,the difference was statistically significant(P<0.05).Conclusion It is better to use external jugular vein blood collection in children aged 0 to 3 years and cubital vein blood collection in children aged 4 to 6 years.