摘要
目的观察新生儿应用经外周置入中心静脉导管(peripherally inserted central catheters,PICC)的优缺点,为需要长期使用静脉治疗的患儿寻找稳定有效的手段。方法采用回顾性队列研究方法,以2006年4月至2008年2月间在该科住院,使用PICC的65例新生儿和使用外周静脉留置针(peripheral intravenous catheters,PIV)的80例新生儿为研究对象,分别对两组患儿导管留置时间、导管机械性并发症、败血症以及死亡情况进行比较。结果PICC的置留时间为18.75±7.62d(7~62d);PIV为1.49±0.57d(0.5h至4d),PICC明显长于PIV(P<0.01);PICC组机械性并发症发生率为27.7%,PIV组为63.8%,PICC组明显低于PIV组(P<0.01);PICC与PIV组的败血症发生率以及死亡率比较差异无显著性意义。结论PICC对新生儿是一项安全有效的治疗措施,能够明显减少静脉穿刺次数。
Objective To evaluate the feasibility and safety of the peripherally inserted central catheters(PICC)as a venous access for newborns who need a long-term venous transfusion.Methods Sixty-five newborns receiving PICC and 80 newborns receiving peripheral intravenous catheters(PIV)from April 2006 to February 2008 were included in this study.A retrospective cohort study was used to compare the indwelling time of catheters,catheter-related mechanical complications,the incidence of sepsis,and the mortality betwee...
出处
《中国当代儿科杂志》
CAS
CSCD
北大核心
2009年第2期100-103,共4页
Chinese Journal of Contemporary Pediatrics
基金
国家自然科学基金(NO.30770748)
关键词
外周置入中心静脉导管
外周静脉留置针
新生儿
Peripherally inserted central catheters
Peripheral intravenous catheters
Newborn
