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Clinica Chimica Acta：在静脉通路困难儿童静脉穿刺中，改良小规格针头对样本质量、抽血医生满意度和病人疼痛感知的影响？

2020-03-01 MedSci MedSci原创

病人疼痛感知
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较小的针规格（G）可以减轻困难的静脉通路（DVA）中的疼痛并改善静脉通路。 本研究目的是比较两种Beckton-Dickinson（BD）Vacutainer®血液采集套件：UltraTouch™ button（UT-PBBCS）和Safety-Lok™（SLBCS）在儿科中的性能。 研究人员采用问卷调查法记录静脉穿刺特征、患者痛觉及抽血困难评分。采用Roche Cobas®6000溶血指

较小的针规格（G）可以减轻困难的静脉通路（DVA）中的疼痛并改善静脉通路。 本研究目的是比较两种Beckton-Dickinson（BD）Vacutainer®血液采集套件：UltraTouch™ button（UT-PBBCS）和Safety-Lok™（SLBCS）在儿科中的性能。

研究人员采用问卷调查法记录静脉穿刺特征、患者痛觉及抽血困难评分。采用Roche Cobas®6000溶血指数(HI)评价标本质量。

研究结果显示SLBCS（21 / 23G）或UT-PBBCS（23 / 25G）用于211名（50.2％）和209名（49.8％）的受试者。 疼痛与年龄有关（p <0.0001），而在UT-PBBCS中疼痛较低（p = 0.0339）。 难度与年龄显著相关（p = 0.002），而与针规无关（p = 0.461），在UT-PBBCS中难度降低了0.42点。 HI与采血组无关（p = 0.385）。

研究结果表明UT-PBBCS在全球范围内的表现均优于SLBCS，并且可以提高放血和患者舒适度，而不会影响DVA小儿患者的样品质量。

原始出处：

Andrea Padoan，Sara Sirini，Evaluation of an improved small gauge needle for venipuncture in children with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1798828, encodeId=3bec1e9882850, content=<a href='/topic/show?id=0779e05961f' target=_blank style='color:#2F92EE;'>#疼痛感知#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70596, encryptionId=0779e05961f, topicName=疼痛感知)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25c8396, createdName=ssnine, createdTime=Sat Apr 11 05:23:00 CST 2020, time=2020-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1849873, encodeId=20fc18498e336, content=<a href='/topic/show?id=61815385aa' target=_blank style='color:#2F92EE;'>#CTA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5385, encryptionId=61815385aa, topicName=CTA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec9955, createdName=windight, createdTime=Thu Oct 15 20:23:00 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698050, encodeId=5b03169805064, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 07 19:23:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669426, encodeId=3a06166942649, content=<a href='/topic/show?id=9d7b620395d' target=_blank style='color:#2F92EE;'>#样本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62039, encryptionId=9d7b620395d, topicName=样本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f33226554040, createdName=zhzhxiang, createdTime=Mon Nov 09 02:23:00 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311953, encodeId=6874131195313, content=<a href='/topic/show?id=21a6e54280e' target=_blank style='color:#2F92EE;'>#穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75428, encryptionId=21a6e54280e, topicName=穿刺)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8b48400, createdName=rgjl, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478693, encodeId=c67714e869375, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581694, encodeId=9b0e15816946a, content=<a href='/topic/show?id=c3049916553' target=_blank style='color:#2F92EE;'>#静脉穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99165, encryptionId=c3049916553, topicName=静脉穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b816859588, createdName=ms1467340776200723, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-04-11 ssnine

    #疼痛感知#

    0

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    2020-10-15 windight

    #CTA#

    0

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    2020-12-07 fusion

    #静脉#

    0

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    2020-11-09 zhzhxiang

    #样本#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1798828, encodeId=3bec1e9882850, content=<a href='/topic/show?id=0779e05961f' target=_blank style='color:#2F92EE;'>#疼痛感知#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70596, encryptionId=0779e05961f, topicName=疼痛感知)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25c8396, createdName=ssnine, createdTime=Sat Apr 11 05:23:00 CST 2020, time=2020-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1849873, encodeId=20fc18498e336, content=<a href='/topic/show?id=61815385aa' target=_blank style='color:#2F92EE;'>#CTA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5385, encryptionId=61815385aa, topicName=CTA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec9955, createdName=windight, createdTime=Thu Oct 15 20:23:00 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698050, encodeId=5b03169805064, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 07 19:23:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669426, encodeId=3a06166942649, content=<a href='/topic/show?id=9d7b620395d' target=_blank style='color:#2F92EE;'>#样本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62039, encryptionId=9d7b620395d, topicName=样本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f33226554040, createdName=zhzhxiang, createdTime=Mon Nov 09 02:23:00 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311953, encodeId=6874131195313, content=<a href='/topic/show?id=21a6e54280e' target=_blank style='color:#2F92EE;'>#穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75428, encryptionId=21a6e54280e, topicName=穿刺)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8b48400, createdName=rgjl, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478693, encodeId=c67714e869375, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581694, encodeId=9b0e15816946a, content=<a href='/topic/show?id=c3049916553' target=_blank style='color:#2F92EE;'>#静脉穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99165, encryptionId=c3049916553, topicName=静脉穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b816859588, createdName=ms1467340776200723, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-03 rgjl

    #穿刺#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1798828, encodeId=3bec1e9882850, content=<a href='/topic/show?id=0779e05961f' target=_blank style='color:#2F92EE;'>#疼痛感知#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70596, encryptionId=0779e05961f, topicName=疼痛感知)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25c8396, createdName=ssnine, createdTime=Sat Apr 11 05:23:00 CST 2020, time=2020-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1849873, encodeId=20fc18498e336, content=<a href='/topic/show?id=61815385aa' target=_blank style='color:#2F92EE;'>#CTA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5385, encryptionId=61815385aa, topicName=CTA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec9955, createdName=windight, createdTime=Thu Oct 15 20:23:00 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698050, encodeId=5b03169805064, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 07 19:23:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669426, encodeId=3a06166942649, content=<a href='/topic/show?id=9d7b620395d' target=_blank style='color:#2F92EE;'>#样本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62039, encryptionId=9d7b620395d, topicName=样本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f33226554040, createdName=zhzhxiang, createdTime=Mon Nov 09 02:23:00 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311953, encodeId=6874131195313, content=<a href='/topic/show?id=21a6e54280e' target=_blank style='color:#2F92EE;'>#穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75428, encryptionId=21a6e54280e, topicName=穿刺)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8b48400, createdName=rgjl, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478693, encodeId=c67714e869375, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581694, encodeId=9b0e15816946a, content=<a href='/topic/show?id=c3049916553' target=_blank style='color:#2F92EE;'>#静脉穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99165, encryptionId=c3049916553, topicName=静脉穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b816859588, createdName=ms1467340776200723, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-03 ms1692212821629096

    #满意度#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1798828, encodeId=3bec1e9882850, content=<a href='/topic/show?id=0779e05961f' target=_blank style='color:#2F92EE;'>#疼痛感知#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70596, encryptionId=0779e05961f, topicName=疼痛感知)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25c8396, createdName=ssnine, createdTime=Sat Apr 11 05:23:00 CST 2020, time=2020-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1849873, encodeId=20fc18498e336, content=<a href='/topic/show?id=61815385aa' target=_blank style='color:#2F92EE;'>#CTA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5385, encryptionId=61815385aa, topicName=CTA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec9955, createdName=windight, createdTime=Thu Oct 15 20:23:00 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698050, encodeId=5b03169805064, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 07 19:23:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669426, encodeId=3a06166942649, content=<a href='/topic/show?id=9d7b620395d' target=_blank style='color:#2F92EE;'>#样本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62039, encryptionId=9d7b620395d, topicName=样本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f33226554040, createdName=zhzhxiang, createdTime=Mon Nov 09 02:23:00 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311953, encodeId=6874131195313, content=<a href='/topic/show?id=21a6e54280e' target=_blank style='color:#2F92EE;'>#穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75428, encryptionId=21a6e54280e, topicName=穿刺)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8b48400, createdName=rgjl, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478693, encodeId=c67714e869375, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581694, encodeId=9b0e15816946a, content=<a href='/topic/show?id=c3049916553' target=_blank style='color:#2F92EE;'>#静脉穿刺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99165, encryptionId=c3049916553, topicName=静脉穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b816859588, createdName=ms1467340776200723, createdTime=Tue Mar 03 12:23:00 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-03 ms1467340776200723

    #静脉穿刺#

    0