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早产儿足跟采血:采用哪种技术?

Heel blood sampling in preterm infants: which technique?

作者信息

Barker D P, Latty B W, Rutter N

机构信息

Department of Neonatal Medicine and Surgery, Nottingham City Hospital.

出版信息

Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F206-8. doi: 10.1136/fn.71.3.f206.

DOI:10.1136/fn.71.3.f206
PMID:7820718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1061126/
Abstract

Preterm infants undergoing heel blood sampling were randomly allocated to specimen collection by heel puncture (Autolet II Clinisafe) or incision (Tenderfoot 'preemie'). A total of 187 procedures was observed in 47 infants. No significant difference was found in the infants' behavioural response, increase in heart rate, or in the frequency of specimen haemolysis. Collection times for small to medium sized samples were similar, but for large samples (> 1 ml) the Tenderfoot method was superior and fewer repeat procedures were necessary. Tenderfoot has the added advantage of improved safety, but it is too costly for routine use.

摘要

接受足跟采血的早产儿被随机分配采用足跟穿刺(Autolet II Clinisafe)或切开(Tenderfoot “preemie”)进行标本采集。共对47名婴儿进行了187次操作。在婴儿的行为反应、心率增加或标本溶血频率方面未发现显著差异。中小样本的采集时间相似,但对于大样本(>1 ml),Tenderfoot方法更具优势,且重复操作较少。Tenderfoot的额外优势是安全性提高,但常规使用成本过高。

相似文献

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Heel blood sampling in preterm infants: which technique?早产儿足跟采血:采用哪种技术?
Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F206-8. doi: 10.1136/fn.71.3.f206.
2
Tenderfoot Preemie vs a manual lancet: a clinical evaluation.新手早产儿足跟采血器与手动采血针的临床评估
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3
[The effect of two different methods of heel lancing on pain reaction in preterm neonates].[两种不同足跟采血方法对早产儿疼痛反应的影响]
Assist Inferm Ric. 1999 Oct-Dec;18(4):185-92.
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An automatic incision device for obtaining blood samples from the heels of preterm infants causes less damage than a conventional manual lancet.一种用于从早产儿足跟采集血样的自动采血装置比传统手动采血针造成的损伤更小。
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Comparison of capillary blood sampling using an automated incision device with and without warming the heel.使用自动切口装置采集足跟毛细血管血时,足跟是否预热的比较。
J Perinatol. 2002 Mar;22(2):154-8. doi: 10.1038/sj.jp.7210583.
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Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant behavioural states across heel-stick procedures: a prospective, randomised controlled trial.非营养性吸吮、口服蔗糖和辅助包裹联合使用对足跟采血过程中婴儿行为状态的影响:一项前瞻性、随机对照试验。
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Non-nutritive sucking and facilitated tucking relieve preterm infant pain during heel-stick procedures: a prospective, randomised controlled crossover trial.非营养性吸吮和辅助包裹缓解足跟采血过程中早产儿疼痛:一项前瞻性、随机对照交叉试验。
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A Scottish study of heel-prick blood sampling in newborn babies.一项关于新生儿足跟采血的苏格兰研究。
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9
Making heel pricks less painful.减轻足跟采血的疼痛感。
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10
Development of atraumatic heel-stick procedures by combined treatment with non-nutritive sucking, oral sucrose, and facilitated tucking: a randomised, controlled trial.通过非营养性吸吮、口服蔗糖和辅助包裹联合治疗开发无创足跟采血程序:一项随机对照试验。
Int J Nurs Stud. 2015 Aug;52(8):1288-99. doi: 10.1016/j.ijnurstu.2015.04.012. Epub 2015 Apr 23.

引用本文的文献

1
Neonatal pain response to automatic lancet versus needle heel-prick blood sampling: A prospective randomized controlled clinical trial.新生儿对自动采血针与足跟针刺采血的疼痛反应:一项前瞻性随机对照临床试验。
Pediatr Int. 2020 Mar;62(3):357-362. doi: 10.1111/ped.14142.
2
Topical amethocaine gel for pain relief of heel prick blood sampling: a randomised double blind controlled trial.外用丁卡因凝胶用于足跟采血疼痛缓解的随机双盲对照试验。
Arch Dis Child Fetal Neonatal Ed. 2001 Jan;84(1):F56-9. doi: 10.1136/fn.84.1.f56.
3
Ultrasound study of heel to calcaneum depth in neonates.新生儿足跟至跟骨深度的超声研究。
Arch Dis Child Fetal Neonatal Ed. 1999 May;80(3):F243-5. doi: 10.1136/fn.80.3.f243.
4
Exposure to invasive procedures in neonatal intensive care unit admissions.新生儿重症监护病房入院时接受侵入性操作的情况。
Arch Dis Child Fetal Neonatal Ed. 1995 Jan;72(1):F47-8. doi: 10.1136/fn.72.1.f47.

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