Comparison between two puncture methods for blood specimen collection from neonatal heel

Objective To compare the effects on blood specimen collection from neonatal heel by oblique puncture and vertical puncture methods,to increase the efficiency of puncturing in blood collection.Methods Two hundred eutocia,full-term infants were randomly divided into experimental group (oblique puncture) and control group( vertical puncture) by stochastically ballot,100 samples in each group,and the blood collection rate in two groups was compared.Results In the same condition,both experiment group (87 cases) and control group (56 cases) have higher efficiency in blood collection,but the experiment group is notably easier than control group (x2 =8.76,P＜0.01),however there is no significant difference in pain (t =0.55,P =0.58).Further,we observed the response of neonatal heel and found that both methods will not induce inflammation,but the peidnoma was significantly decreased in experiment group compared to control group ( x2 =9.26,P ＜ 0.01 ).The experiment group was significant high than control group.Conclusions Oblique puncture method is conformance to care program,and can significantly decrease the suffering of newborns,and increase the efficiency. Key words: Infant,newborn; Blood specimen collection; Oblique puncture; Vertical puncture