新生儿筛查足跟血采集护理要点分析(1)
[摘要] 目的 探讨新生儿筛查足跟血采集护理要点。方法 方便选取2017年1—12月该院收治的398例新生儿，采用随机分组的方式，将398新生儿患者分为对照组和观察组，每组199例。对照组在沐浴前进行足跟血采集，观察组沐浴后进行足跟血采集，对两组采血成功率、淤血率等情况。 结果 对照组新生儿采血成功率为77.39%，远低于观察组新生儿的92.96%，差异有统计学意义(χ2=4.667，P<0.05)；对照组新生儿采血淤血率为12.56%，明显高于观察组新生儿的4.02%，差异有统计学意义(χ2=4.356，P<0.05)；对照组新生儿家属满意度为75.38%，低于观察组的95.98%，差异有统计学意义(χ2=5.32，P<0.05)。结论 新生儿在沐浴后进行足跟血采集能够明显提高采血成功率，降低新生儿在采血过程中的淤血率。
[关键词] 足跟血采集；新生儿；采血成功率；淤血率
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2018)10(c)-0116-03
[Abstract] Objective To investigate the key points of neonatal screening for heel blood collection. Methods A total of 398 neonates admitted to the hospital from January to December 2017 were convenient selected and randomly divided into two groups： 199 neonates were divided into control group and observation group， with 199 cases in each group. The control group was subjected to heel blood collection before bathing. The observation group was subjected to heel blood collection after bathing， and the success rate and blood stasis rate of the two groups were collected. Results The success rate of blood collection in the control group was 77.39%， which was much lower than that in the observation group 92.96%，the different was statistically significant(χ2=4.667， P<0.05). The blood collection rate of the control group was 12.56%， which was significantly higher than that of the observation group of 4.02%，the different was statistically significant(χ2=4.356， P<0.05)； the satisfaction of neonates in the control group was 75.38%， which was lower than that of the observation group 95.98%，the different was statistically significant(χ2=5.32， P<0.05). Conclusion The newborn's heel blood collection after bathing can significantly improve the success rate of blood collection and reduce the blood stasis rate of newborns during blood collection.
[Key words] Heel blood collection； Newborn； Blood collection success rate； Congestion rate
新生儿筛查(Newborn Screening)是指对新生儿进行各类疾病的筛查总称，主要包括遗传代谢异常、天性内分泌异常和遗传性疾病[1]。我国是一个人口大国，数据统计显示[2]，每年出生的新生儿为2 000～2 500万，其中有先天性缺陷20～30万，发病率为1/600，且有逐年增加的趋势，所以对新生儿进行筛查意义重大。新生儿检查项目主要包括苯丙酮尿症、甲亢性功能减低症和先天性肾上腺功能增生症，首先向医护人员说明筛查重要性和注意事项，之后对新生儿血样进行快速准确的检测，进行有针对性的治疗[3-4]。该研究方便选取2017年1—12月该院收治的398例新生儿患者作为研究对象，随机分为对照组和观察组，对照组的新生儿在沐浴前进行足跟血采集，观察组新生儿在沐浴后进行足跟血采集，现报道如下。
1 資料与方法
1.1 一般资料
方便选取该院收治的398例新生儿患者为研究对象。该研究在征得家属同意的前提下进行，且签署医患沟通备忘录。采用随机抽样的方法将该次患者分为对照组和观察组，每组199例，对照组的新生儿在沐浴之前进行足跟血采集，观察组新生儿在沐浴后进行足跟血采集，新生儿均在出生72 h，喂足6次奶后开始采血，其中早产儿95例，7～20 d内开始采血。对照组男性新生儿103例，女性96例，体重在(2.15～4.49)kg，平均体重为(3.16±0.39)kg，早产儿42例；对照组男性新生儿99例，女性100例，体重在(2.29～4.52)kg，平均体重为(3.25±0.24)kg，早产儿53例；两组新生儿患者在性别、早产时间和体重等方面均差异无统计学意义(P>0.05)。, http://www.100md.com(陈惠萍 史丽峰)
[关键词] 足跟血采集；新生儿；采血成功率；淤血率
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2018)10(c)-0116-03
[Abstract] Objective To investigate the key points of neonatal screening for heel blood collection. Methods A total of 398 neonates admitted to the hospital from January to December 2017 were convenient selected and randomly divided into two groups： 199 neonates were divided into control group and observation group， with 199 cases in each group. The control group was subjected to heel blood collection before bathing. The observation group was subjected to heel blood collection after bathing， and the success rate and blood stasis rate of the two groups were collected. Results The success rate of blood collection in the control group was 77.39%， which was much lower than that in the observation group 92.96%，the different was statistically significant(χ2=4.667， P<0.05). The blood collection rate of the control group was 12.56%， which was significantly higher than that of the observation group of 4.02%，the different was statistically significant(χ2=4.356， P<0.05)； the satisfaction of neonates in the control group was 75.38%， which was lower than that of the observation group 95.98%，the different was statistically significant(χ2=5.32， P<0.05). Conclusion The newborn's heel blood collection after bathing can significantly improve the success rate of blood collection and reduce the blood stasis rate of newborns during blood collection.
[Key words] Heel blood collection； Newborn； Blood collection success rate； Congestion rate
新生儿筛查(Newborn Screening)是指对新生儿进行各类疾病的筛查总称，主要包括遗传代谢异常、天性内分泌异常和遗传性疾病[1]。我国是一个人口大国，数据统计显示[2]，每年出生的新生儿为2 000～2 500万，其中有先天性缺陷20～30万，发病率为1/600，且有逐年增加的趋势，所以对新生儿进行筛查意义重大。新生儿检查项目主要包括苯丙酮尿症、甲亢性功能减低症和先天性肾上腺功能增生症，首先向医护人员说明筛查重要性和注意事项，之后对新生儿血样进行快速准确的检测，进行有针对性的治疗[3-4]。该研究方便选取2017年1—12月该院收治的398例新生儿患者作为研究对象，随机分为对照组和观察组，对照组的新生儿在沐浴前进行足跟血采集，观察组新生儿在沐浴后进行足跟血采集，现报道如下。
1 資料与方法
1.1 一般资料
方便选取该院收治的398例新生儿患者为研究对象。该研究在征得家属同意的前提下进行，且签署医患沟通备忘录。采用随机抽样的方法将该次患者分为对照组和观察组，每组199例，对照组的新生儿在沐浴之前进行足跟血采集，观察组新生儿在沐浴后进行足跟血采集，新生儿均在出生72 h，喂足6次奶后开始采血，其中早产儿95例，7～20 d内开始采血。对照组男性新生儿103例，女性96例，体重在(2.15～4.49)kg，平均体重为(3.16±0.39)kg，早产儿42例；对照组男性新生儿99例，女性100例，体重在(2.29～4.52)kg，平均体重为(3.25±0.24)kg，早产儿53例；两组新生儿患者在性别、早产时间和体重等方面均差异无统计学意义(P>0.05)。, http://www.100md.com(陈惠萍 史丽峰)