摘要
目的探讨风险管理应用于超早产儿脐动脉置管护理中的效果。方法将我院于2015年1月至2019年6月间收治的58例超早产儿患儿按照随机数字法分为2组,对照组29例予以常规脐动脉置管护理,研究组29例加以风险管理。比较两组患儿心率、呼吸、收缩压、舒张压、置管成功率以及脐部渗血、导管堵塞、导管脱出、导管相关血流感染等并发症发生情况。结果研究组心率、呼吸均低于对照组,收缩压及舒张压均高于对照组(P<0.05)。研究组置管成功率高于对照组(P<0.05)。研究组脐部渗血、导管堵塞、导管脱出、导管相关血流感染等并发症发生率均低于对照组(P<0.05)。结论风险管理应用于超早产儿脐动脉置管护理中可保持患儿生命体征平稳,提高置管成功率,降低置管并发症。
Objective To explore the effect of risk management in nursing care of premature infants with umbilical artery catheterization.Methods 58 preterm infants in our hospital from January 2015 to June 2019 were divided into two groups according to the random number method,29 cases in the control group were given routine umbilical artery catheterization nursing,29 cases in the study group were given risk management.The heart rate,respiration,systolic blood pressure,diastolic blood pressure,success rate of catheterization and complications such as umbilical bleeding,catheter blockage,catheter prolapse,catheter-related blood flow infection were compared between the two groups.Results The heart rate and respiration of the study group were lower than those of the control group,and the systolic and diastolic pressures were higher than those of the control group(P<0.05).The success rate of catheterization in the study group was higher than that in the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion Risk management can keep the vital signs stable,improve the success rate of catheterization and reduce the complications of catheterization.
作者
杜月琼
DU Yue-qiong(Department of Neonatology,Gaoming District People’s Hospital,Foshan,Guangdong 528500)
出处
《智慧健康》
2020年第13期92-93,104,共3页
Smart Healthcare
关键词
脐动脉置管
风险管理
生命体征
超早产儿
Umbilical artery catheterization
Risk management
Vital signs
Preterm infants
