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一种带留置针的安全采血装置的临床应用

Clinical Application of a Safe Blood Sampling Device with an Indwelling Needle.

作者信息

Deng Yeqin, Lv Zhengbing, Cheng Yue, Liu Annuo, Huang Zhengling

机构信息

Anhui Maternal and Child Health Hospital, Anhui Medical University, Hefei, Anhui, China.

Zhejiang Sci-Tech University, Hangzhou, Zhejiang, China.

出版信息

Appl Bionics Biomech. 2022 Sep 1;2022:6362905. doi: 10.1155/2022/6362905. eCollection 2022.

DOI:10.1155/2022/6362905
PMID:36091628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9458410/
Abstract

BACKGROUND

The traditional indwelling needle catheter is hard and can only complete one puncture at a time. The safety and indwelling needle catheter is soft, with a large lumen, with high success rate of blood collection, and one puncture completes two operations, so it is of important value and significance to study the new safety and indwelling needle. To explore the clinical utility of a novel blood collection device with indwelling needle for blood collection among pediatric patients.

METHODS

A total of 300 children who were admitted to the children's hospital from March to June 2020 were selected and randomly divided into the control group (148) and the observation group (152). The control group received venipuncture using regular needles for infusion and blood collection. For the observation group, a modified indwelling needle device was used for the procedures. Comparisons were made between the two devices in five aspects: blood sample quality, operation time, needlestick incidence, related complications, and patient satisfaction.

RESULTS

There was no significant difference in coagulation rate between the two groups, but slightly lower overall hemolysis incidence in the observation group. The unqualified rate of blood specimens collected in the observation group was 10.0% lower than that in the control group ( < 0.05). Shorter operation time, lower incidence of needlestick injuries, and improved satisfaction were observed in the group using the novel blood collection device.

CONCLUSIONS

This modified blood collection device is superior to the regular venipuncture needle, in terms of safety, efficiency, and patient satisfaction; thus, it has potential for broad clinical applications for infusion and blood collection.

摘要

背景

传统留置针导管质地硬,且一次只能完成一次穿刺。安全型留置针质地软,管腔大,采血成功率高,一次穿刺可完成两项操作,因此研究新型安全型留置针具有重要价值和意义。探讨一种新型带留置针采血装置在儿科患者采血中的临床应用价值。

方法

选取2020年3月至6月在儿童医院住院的300例患儿,随机分为对照组(148例)和观察组(152例)。对照组采用常规针头进行静脉穿刺输液和采血。观察组采用改良留置针装置进行操作。比较两种装置在血样质量、操作时间、针刺发生率、相关并发症及患者满意度五个方面的差异。

结果

两组凝血率无显著差异,但观察组总体溶血发生率略低。观察组采集的血标本不合格率比对照组低10.0%(<0.05)。使用新型采血装置的组操作时间更短,针刺伤发生率更低,患者满意度更高。

结论

这种改良采血装置在安全性、效率和患者满意度方面优于常规静脉穿刺针;因此,它在输液和采血方面具有广泛的临床应用潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/63e10c6b782a/ABB2022-6362905.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/8b00af10da6c/ABB2022-6362905.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/f4d23e200c3b/ABB2022-6362905.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/63e10c6b782a/ABB2022-6362905.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/8b00af10da6c/ABB2022-6362905.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/f4d23e200c3b/ABB2022-6362905.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/9458410/63e10c6b782a/ABB2022-6362905.003.jpg

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本文引用的文献

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J Infect Prev. 2021 Jan;22(1):19-27. doi: 10.1177/1757177420948580. Epub 2020 Sep 1.
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Peripheral intravenous catheters in hospitalized patients: Practice, Dwell times, and factors impacting the dwell times: A single center retrospective study.住院患者外周静脉导管:实践、留置时间及影响留置时间的因素:一项单中心回顾性研究
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Blood sampled from existing peripheral IV cannulae yields results equivalent to venepuncture: a systematic review.
从现有外周静脉留置针采集的血液样本产生的结果与静脉穿刺相当:一项系统评价。
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