Paediatrics Department, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.
Singapore Med J. 2009 Oct;50(10):1004-7.
The aim of this study was to determine whether there was a difference in the pain indicators and effectiveness between venipuncture (VP) and heel prick (HP) for blood glucose monitoring in term neonates (recently, venipuncture was shown superior for the Guthrie test).
66 term neonates undergoing blood glucose monitoring underwent VP or HP. Primary outcome measures included the Neonatal Facial Scoring System (NFCS) score, duration of the first cry, total duration of cry and duration of procedure. Secondary outcome measured was the number of skin punctures needed to obtain blood.
The NFCS score was not significantly different between the two groups and the duration of the procedure was significantly longer for the VP than the HP group (median 27 s vs. 7 s; p-value is less than 0.001). The differences between the two groups in the duration of the first cry, total duration of cry and number of skin punctures needed to obtain blood were not statistically significant, but these parameters displayed a trend, favouring the HP.
The HP is still the preferred method of drawing blood in neonates for blood glucose monitoring, as only one drop of blood is required.
本研究旨在确定在足月新生儿中（最近的研究表明，在进行 Guthrie 测试时，静脉穿刺优于足跟采血），静脉穿刺（VP）和足跟采血（HP）用于血糖监测时疼痛指标和效果是否存在差异。
66 名接受血糖监测的足月新生儿接受 VP 或 HP。主要观察指标包括新生儿面部评分系统（NFCS）评分、第一声啼哭的持续时间、总啼哭持续时间和操作持续时间。次要观察指标是获得血液所需的皮肤穿刺次数。
两组间 NFCS 评分无显著差异，VP 组的操作持续时间明显长于 HP 组（中位数 27 秒对 7 秒；p 值小于 0.001）。两组间第一声啼哭持续时间、总啼哭持续时间和获得血液所需的皮肤穿刺次数差异无统计学意义，但这些参数显示出倾向于 HP 的趋势。
HP 仍然是新生儿血糖监测采血的首选方法，因为仅需一滴血。
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