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外周静脉导管采集的血样还是常规方式:输液会改变生化检测结果吗?

Blood Samples of Peripheral Venous Catheter or The Usual Way: Do Infusion Fluid Alters the Biochemical Test Results?

作者信息

Taghizadeganzadeh Mahboobeh, Yazdankhahfard Mohammadreza, Farzaneh Mohammadreza, Mirzaei Kamran

机构信息

Nursing Graduate Student Bushehr University of Medical Sciences, Bushehr, Iran.

出版信息

Glob J Health Sci. 2015 Nov 3;8(7):93-9. doi: 10.5539/gjhs.v8n7p93.

Abstract

BACKGROUND

Most blood tests require venous blood samples. Puncturing the vein also causes pain, infection, or damage to the blood, and lymph flow, or long-term healing. This study aimed to determine and compare the biochemical laboratory value of the blood samples that were provided through: peripheral vein infusion (PVI) receiving continuous intravenous fluid; and the usual method of blood sampling.

METHODS

This is an interventional, quasi-experimental, and controlled study. The selected study sample included 60 patients, who were hospitalized during 2014, in the Internal Medicine, part of Martyrs of Persian Gulf, teaching hospital at Bushehr. Three blood samples were taken from each patient that were provided through PVI line (5 ml blood collected at beginning of IVC and then another 5 cc), and another case was prepared by common blood sampling (control). All the samples were analyzed in terms of sodium, potassium, urea and creatinine using SPSS Ver.19 software, by paired t-test and Pearson's correlation coefficients.

RESULTS

There was a statistically significant difference between the amount of sodium and potassium in the first blood samples taken from the intravenous infusion line and vein puncture .However, no significant differences were found among the biochemical amount in the second blood samples taken from the intravenous infusion line and vein puncture.

CONCLUSIONS

We can use blood samples taken from peripheral intravenous infusion lines after 5cc discarding from the first part of the sample for measuring the value of sodium, potassium, urea and creatinine.

摘要

背景

大多数血液检测需要采集静脉血样。静脉穿刺还会引起疼痛、感染、血液、淋巴液流动或长期愈合方面的损伤。本研究旨在确定并比较通过以下方式采集的血样的生化实验室值:接受持续静脉输液的外周静脉输注(PVI);以及常规采血方法。

方法

这是一项干预性、半实验性和对照性研究。选定的研究样本包括2014年在布什尔烈士波斯湾教学医院内科住院的60名患者。从每位患者采集三份血样,一份通过PVI管路采集(在静脉输液开始时采集5毫升血液,然后再采集5毫升),另一份通过常规采血方式采集(对照)。使用SPSS Ver.19软件,通过配对t检验和皮尔逊相关系数对所有样本的钠、钾、尿素和肌酐进行分析。

结果

从静脉输液管路采集的第一份血样和静脉穿刺采集的血样中的钠和钾含量存在统计学显著差异。然而,从静脉输液管路采集的第二份血样和静脉穿刺采集的血样在生化指标上未发现显著差异。

结论

我们可以使用从外周静脉输液管路采集的血样,在丢弃样本第一部分的5毫升后,用于测定钠、钾、尿素和肌酐的值。

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