BD动脉采血器在急诊危重症患者动脉采血中的临床效果观察(1)
摘要：目的 回顾性观察BD动脉采血器在急诊危重症患者动脉采血中的应用效果。方法 连续收集100例需要进行血气分析的急诊危重症患者应用BD动脉采血器进行采血，并总结100例采用一次性注射器采集动脉血的急诊危重症患者作为对照组，将两组标本合格率、一次性穿刺成功率、误抽静脉血率、混入气泡率、穿刺局部皮下血肿和瘀斑率、患者主观疼痛程度进行和穿刺后压迫止血时间比较。结果 观察组各项指标均优于对照组，差异存在统计学意义(P<0.01)。结论 在急诊危重症抢救过程中，积极采用BD动脉采血器采血能有效提高一次性穿刺成功率、提高动脉血气标本的合格率并有效减轻患者的疼痛程度、减少局部皮下血肿与瘀斑发生，在急诊抢救工作中值得推广应用。
关键词：BD动脉采血器；危重症患者；一次性注射器；动脉采血；效果观察
Abstract：Objective To retrospective study，we compare the clinical effects of arterial blood drawing with BD Critical Care Collection Syringes and Common Disposable Syringes.Methods To compare BD Critical Care Collection Syringes for 100 patients，and randomly selected 100 patients who used Common Disposable Syringes for arterial blood drawing.We compared those items：Specimen qualified rate，success rate of puncture by once，happen rate of vein blood drawing，happen rate of mixed air，happen rate of haematoma and extravasated blood in puncture site and pain level and the wounds pressing time after blood sampling.Results Index of BD Critical Care Collection Syringes is：Specimen qualified rate 89%，success rate of puncture by once 96%，happen rate of vein blood drawing 5%，happen rate of mixed air 2%，happen rate of haematoma and extravasated blood in puncture site 15%and pain level 5%.According to the control group，Specimen qualified rate 85%，success rate of puncture by once 82%，happen rate of vein blood drawing 14%，happen rate of mixed air 8%，happen rate of haematoma and extravasated blood in puncture site 20%and pain level 20%.BD Critical Care Collection Syringes were obviously lower than Common Disposable Syringes in happen rate of vein blood drawing，happen rate of mixed air，happen rate of haematoma and extravasated blood in puncture site and pain level，and obviously higher in Specimen qualified rate， success rate of puncture by once and the wounds pressing time after blood simpling(P<0.01).Conclusion BD Critical Care Collection Syringes are simple in operation， and have little bad response，little pain to patiens，this should be used in clinical practice normaly.
, http://www.100md.com
Key words：BD critical care collection syringes；Critical patients；Common disposable syringes；Arterial blood drawing；Effect observation
动脉血气分析是临床医学的一项重要辅助检查，尤其在急诊危重症患者中，用于检测呼吸功能和酸碱平衡的一项重要指标，为临床医生提供急危重症患者缺氧程度和酸碱水解质平衡的依据[1]。在急诊抢救与危重症护理中，为做血气分析而进行的动脉血采集也是急诊中心护士的一项必备常规操作技能。因为动脉血的采集过程对动脉血气分析的结果有直接影响，甚至会影响结果的准确性，要求正确而准确地抽取动脉血是急诊护士临床必须掌握的操作技能之一[2]。既往的传统动脉采血方法是用一次性注射器采集动脉血，操作繁琐，误入静脉且容易掺入气泡，常常因多次穿刺不成功增加患者痛苦，一次性成功率低，标本合格率低。
临床采集动脉血气分析标本主要从股动脉、桡动脉、肱动脉、足背动脉和头皮动脉穿刺，桡动脉因其浅表容易触及，暴露患者肢体面积小，操作方便，可减少对患者的搬动，故临床选用多[3]。我急诊中心动脉血气分析标本采集亦以桡动脉为首选动脉。2014年1月～2015年1月在我急诊中心采用BD动脉采血器并与既往的一次性注射器采血进行回顾性比较，现将结果报告如下。因BD动脉采血器为一次性使用，如一次穿刺不成功、误抽静脉血或混入气泡均将丢弃重新启用新BD动脉采血器，而一次性注射器采血则可以重复使用。, http://www.100md.com(赵春云 孙明 苏颖喆 姚成洲)
关键词：BD动脉采血器；危重症患者；一次性注射器；动脉采血；效果观察
Abstract：Objective To retrospective study，we compare the clinical effects of arterial blood drawing with BD Critical Care Collection Syringes and Common Disposable Syringes.Methods To compare BD Critical Care Collection Syringes for 100 patients，and randomly selected 100 patients who used Common Disposable Syringes for arterial blood drawing.We compared those items：Specimen qualified rate，success rate of puncture by once，happen rate of vein blood drawing，happen rate of mixed air，happen rate of haematoma and extravasated blood in puncture site and pain level and the wounds pressing time after blood sampling.Results Index of BD Critical Care Collection Syringes is：Specimen qualified rate 89%，success rate of puncture by once 96%，happen rate of vein blood drawing 5%，happen rate of mixed air 2%，happen rate of haematoma and extravasated blood in puncture site 15%and pain level 5%.According to the control group，Specimen qualified rate 85%，success rate of puncture by once 82%，happen rate of vein blood drawing 14%，happen rate of mixed air 8%，happen rate of haematoma and extravasated blood in puncture site 20%and pain level 20%.BD Critical Care Collection Syringes were obviously lower than Common Disposable Syringes in happen rate of vein blood drawing，happen rate of mixed air，happen rate of haematoma and extravasated blood in puncture site and pain level，and obviously higher in Specimen qualified rate， success rate of puncture by once and the wounds pressing time after blood simpling(P<0.01).Conclusion BD Critical Care Collection Syringes are simple in operation， and have little bad response，little pain to patiens，this should be used in clinical practice normaly.
, http://www.100md.com
Key words：BD critical care collection syringes；Critical patients；Common disposable syringes；Arterial blood drawing；Effect observation
动脉血气分析是临床医学的一项重要辅助检查，尤其在急诊危重症患者中，用于检测呼吸功能和酸碱平衡的一项重要指标，为临床医生提供急危重症患者缺氧程度和酸碱水解质平衡的依据[1]。在急诊抢救与危重症护理中，为做血气分析而进行的动脉血采集也是急诊中心护士的一项必备常规操作技能。因为动脉血的采集过程对动脉血气分析的结果有直接影响，甚至会影响结果的准确性，要求正确而准确地抽取动脉血是急诊护士临床必须掌握的操作技能之一[2]。既往的传统动脉采血方法是用一次性注射器采集动脉血，操作繁琐，误入静脉且容易掺入气泡，常常因多次穿刺不成功增加患者痛苦，一次性成功率低，标本合格率低。
临床采集动脉血气分析标本主要从股动脉、桡动脉、肱动脉、足背动脉和头皮动脉穿刺，桡动脉因其浅表容易触及，暴露患者肢体面积小，操作方便，可减少对患者的搬动，故临床选用多[3]。我急诊中心动脉血气分析标本采集亦以桡动脉为首选动脉。2014年1月～2015年1月在我急诊中心采用BD动脉采血器并与既往的一次性注射器采血进行回顾性比较，现将结果报告如下。因BD动脉采血器为一次性使用，如一次穿刺不成功、误抽静脉血或混入气泡均将丢弃重新启用新BD动脉采血器，而一次性注射器采血则可以重复使用。, http://www.100md.com(赵春云 孙明 苏颖喆 姚成洲)