目的 探讨整合式干预措施联合摇篮式怀抱法在新生儿股静脉划线定位斜刺采血中的应用效果。方法 选取2024年1-12月武警特色医学中心儿科行股静脉采血的153例新生儿为研究对象,根据治疗的单、双日分为联合组(n=84)、对照组(n=69)。联合组采用整合式干预措施联合摇篮式怀抱法行股静脉划线定位斜刺采血,对照组采用常规新生儿护理模式进行股静脉划线定位斜刺采血。对两组患儿一针穿刺成功率、疼痛评估情况、采血时长、家长满意度及操作后相关反应进行比较。结果 联合组一针穿刺成功率(96.43%)明显高于对照组(84.06%);联合组轻度疼痛构成比(52.38%)高于对照组(39.13%),而重度疼痛构成比(2.38%)显著低于对照组(11.59%);联合组平均采血时长为(54.30±3.80)s,显著短于对照组的(66.23±6.65)s;联合组家长满意度(95.24%)明显高于对照组(84.06%), 其中联合组对操作非常满意的家长(＞95分)明显多于对照组,差异均有统计学意义(P＜0.05);联合组对减轻患儿重度疼痛方面优于对照组,差异具有统计学意义(P＜0.05);两组之间的操作相关反应差异无统计学意义。结论 新生儿股静脉划线定位斜刺采血协同整合式干预措施联合摇篮式怀抱法可提高一针穿刺成功率、缩短采血时长,家长满意度高,其效果明显优于常规护理。

Objective To explore the application effect of integrated intervention measures combined with cradle-holding method in neonatal femoral vein blood collection through line marking and oblique puncture. Methods A total of 153 newborns who underwent femoral vein blood collection in the Pediatrics Department of Characteristics Medical Center of Chinese People’s Armed Police Force from January to December 2024 were selected as the study subjects, and were divided into a combined group (n=84) and a control group (n=69) based on the odd or even days of treatment.The combined group received integrated intervention measures combined with the cradle-holding method for femoral vein line marking and oblique puncture blood collection, while the control group underwent conventional neonatal care mode for femoral vein line marking and oblique puncture blood collection. The success rate of one-needle puncture, pain assessment, blood collection duration, parental satisfaction, and related reactions after the operation were compared between the two groups. Results Compared with the control group, the success rate of one-needle puncture in the combined group was significantly higher(96.43% vs 84.06%), and so was the mild pain rate (52.38% vs 39.13%) and the severe pain rate (2.38% vs 11.59%). The average blood collection duration in the combined group (54.3±3.802) s was significantly shorter than that in the control group (66.23±6.651) s;parental satisfaction in the combined group (95.24%) was significantly higher than that in the control group (84.06%), and the number of parents who were very satisfied with the operation (>95 points) in the combined group was significantly more than that in the control group, and the differences were statistically significant (P<0.05);the combined group was superior to the control group in alleviating severe pain of the children, and the difference was statistically significant (P<0.05);there was no statistically significant difference in the operation-related reactions between the two groups. Conclusions The integrated intervention measures combined with cradle-holding method for femoral vein line marking and oblique puncture blood collection in newborns can improve the one-puncture success rate, shorten the blood collection duration, and have high parents’ satisfaction, whose effect is significantly better than conventional care.