新生儿上矢状窦采血法的临床探讨

Draining blood from the superior sagital sinus in neonates

目的评价新生儿上矢状窦采血法的优越性。方法临床选取320例新生儿随机分为上矢状窦采血组和股静脉采血组,两组就一次性成功率、标本溶血凝血、针头堵塞、采血时间进行比较。结果两种采血方法观察指标经字2检验、方差分析显示均有显著性差异(P<0.05),上矢状窦采血组一次性成功率高,标本溶血、凝血和针头堵塞现象发生率低,采血时间较短。结论上矢状窦采血用于新生儿可提高工作效率,减轻患儿疼痛,提高采血质量,值得临床推广使用。

Objective To evaluate the method of drawing blood from the superior sagital sinus in neonates. Methods 320 neonates were divided into two groups at random: 160 of them receiving the method of drawing blood from the superior sagital sinus and the other 160 from femoral vein. The two groups were compared in view of one-time success rate, hemolysis and coagulation of the samples, obstruction of the syringe needles and duration of drawing. Results The two methods were found significantly different by Chi-square test and analysis of variance in all the items (P<0.05). The method of drawing blood from superior sagital sinus was advantageous due to its higher one-time success rate, lower occurrence rates of both hemolysis and coagulation of the samples and obstruction of the syringe needles, and shorter time. Conclusion Drawing blood from superior sagital sinus in neonates can raise the work efficiency, relieve their pains and enhance the quality of blood drawn, worth popularization.