新生儿疾病筛查中不同采血部位的效果观察

目的观察新生儿疾病筛查不同采血部位的效果,探讨最佳采血部位,提高采血质量.方法将371例新生儿按出生单、双月分成两组,观察组采血部位在足底定位,位置为新生儿足底第4～5跖骨间划一直线与足后跟外缘相交上1 cm再向外侧0.1 cm处;对照组采血部位取新生儿足跟部内侧或外侧,无具体定位.结果采血一次成功率观察组高于对照组,经x2检验,x2=11.96,P＜0.01;新生儿足底肿胀、淤斑对照组高于观察组,两组肿胀比较经x2检验,x2=7.31、P＝0.0069;两组淤斑经Finsher's Exact Test,P＝0.0098.结论用足底定位采血,可以提高采血一次成功率,减少新生儿足底肿胀、淤斑.

Observation on effects of collecting blood in different parts during the neonatal screening

Objective To observe the effects of collecting blood in different parts during the neonatal screening and discuss the optimal blood collecting location so as to improve the blood collecting quality.Method 371 neonates were randomly divided into two groups by months.The experimental group was collected blood at outboard foot,which is 0.1 cm out of the crossing between the back of foot and the line of phalange four and five., while the control group were collected at inboard or outboard foot.Result One-time achievement of blood collecting in the experimental group was higher than the control group(x~2=11.96,P<0.01),The swelling in foot of the control group was higher than the experimental group(x~2=7.31,P=0.0069),and the petechia in foot of the control group was higher than the experimental group(Finsher's Exact Test,P=0.0098).Conclusion Collecting blood in foot location can increase the rate of one-time achievment and decrease the swelling and petechin in foot.