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Compared study between obtaining blood samples from peripheral intravenous catheters and venipuncture on complete blood count and glucose

دراسة مقارنة بين العينات الدموية المسحوبة من القثطرة الوريدية المحيطية و العينات المسحوبة من الوريد مباشرة على معدل تعداد الدم العام و سكر الدم

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 Publication date 2015
and research's language is العربية
 Created by Shamra Editor




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The fastest medical evaluation possible is deemed vital to assuring the best possible care for critical patients, several diagnostic tests are necessary to fully evaluate these patients because care decisions will often be based on the results, using a functioning peripheral venous catheter for obtaining blood samples helps patients, medical and nursing staff. Objective: The objectives of this study were to compare between obtaining blood samples from peripheral intravenous catheters and venipuncture on complete blood count and glucose. Tools and methods: This study was conducted on a sample of 80 patients, was selected by simple random sampling who are employing in surgical yard in Al-Asad University hospital, and obtains double blood specimens by two methods (Peripheral venous catheters,venipuncture) and applying the same laboratory studies on it. Results: The results showed that obtaining blood samples from peripheral venous catheters is acceptable method for (WBC, RBC, HGB, HCT) where the value (0.05< P) and unacceptable method for (PLT, GLU) where the value (0.05> P).


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Research summary
تتناول هذه الدراسة مقارنة بين سحب العينات الدموية من القتطرة الوريدية المحيطية وسحبها من الوريد مباشرة وتأثير ذلك على نتائج تعداد الدم العام ومستوى سكر الدم. أجريت الدراسة على 80 مريضًا في مستشفى الأسد الجامعي في اللاذقية، حيث تم سحب عينات دموية بطرق مختلفة من كل مريض. أظهرت النتائج أن سحب العينات من القتطرة الوريدية المحيطية يعد مقبولًا لتحاليل كريات الدم البيضاء، كريات الدم الحمراء، الخضاب، والرسابة، ولكنه غير مقبول لتحاليل الصفيحات وسكر الدم. كما أظهرت الدراسة أن نوع السوائل الوريدية المسربة ومعدل تسريبها له تأثير على نتائج بعض التحاليل الدموية، وخاصة الصفيحات وسكر الدم. توصي الدراسة باستخدام القتطرة الوريدية المحيطية كبديل لسحب العينات الدموية بالطريقة التقليدية في بعض التحاليل، مع الحاجة لمزيد من الأبحاث لتأكيد النتائج.
Critical review
تعتبر هذه الدراسة خطوة مهمة نحو تحسين تجربة المرضى وتقليل الألم والمضاعفات المرتبطة بسحب الدم بالطريقة التقليدية. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الأفضل تضمين مجموعة ضابطة للمقارنة بشكل أكثر دقة. ثانيًا، يمكن توسيع نطاق الدراسة لتشمل تحاليل دموية أخرى للتحقق من مدى دقة النتائج. ثالثًا، يجب أخذ عينات من مجموعة أكبر من المرضى لضمان تعميم النتائج بشكل أوسع. وأخيرًا، يجب النظر في تأثير العوامل البيئية والفيزيولوجية الأخرى التي قد تؤثر على نتائج التحاليل الدموية.
Questions related to the research
  1. ما الهدف الرئيسي من هذه الدراسة؟

    الهدف الرئيسي هو مقارنة نتائج العينات الدموية المسحوبة من القتطرة الوريدية المحيطية مع تلك المسحوبة من الوريد مباشرة على تعداد الدم العام ومستوى سكر الدم.

  2. ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟

    توصلت الدراسة إلى أن سحب العينات من القتطرة الوريدية المحيطية مقبول لتحاليل كريات الدم البيضاء، كريات الدم الحمراء، الخضاب، والرسابة، ولكنه غير مقبول لتحاليل الصفيحات وسكر الدم.

  3. ما هي التوصيات التي قدمتها الدراسة؟

    توصي الدراسة باستخدام القتطرة الوريدية المحيطية كبديل لسحب العينات الدموية بالطريقة التقليدية في بعض التحاليل، مع الحاجة لمزيد من الأبحاث لتأكيد النتائج.

  4. ما هي العوامل التي تؤثر على نتائج التحاليل الدموية وفقًا للدراسة؟

    العوامل التي تؤثر على نتائج التحاليل الدموية تشمل نوع السوائل الوريدية المسربة ومعدل تسريبها، بالإضافة إلى مكان تركيب القتطرة الوريدية المحيطية.


References used
HIMBERGER JR;HIMBERGER LC. Accuracy of drawing blood through infusing intravenous lines. Heart Lung. 2001;30(1):66 –73
BERGER S;BUDDE B; ELLIS M.H.;SHENKMAN Z;EREZ I. Blood Sampling Through Peripheral Venous Catheters Is Reliable for Selected Basic Analytes in Children. Department of Pediatric Surgery, Meir Medical Center. 2010;126;e179
BURNS E; YOSHIKAWA N. Hemolysis in serum samples drawn by emergency department personnel versus laboratory phlebotomists. Lab Med. 2002;33(5):378-380
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