摘要
目的分析早产儿经外周中心静脉置管(PICC)的应用及采取相关护理的效果。方法 240例早产儿,随机分为实验组与对照组,各120例。实验组行PICC治疗,对照组采取周围静脉留置输液治疗,观察两组早产儿的治疗护理效果。结果实验组穿刺静脉应用最多的为贵要静脉,占61.67%(74/120),使用最少的为腘窝静脉,占0.83%(1/120)。实验组120例早产儿均置管成功,成功率为100.00%。实验组导管留置时间(20.25±7.86)d长于对照组(4.15±1.16)d,穿刺次数(3.98±4.05)次少于对照组(15.25±5.86)次,同时机械性静脉炎、穿刺口感染及不完全堵管等并发症发生率低于对照组,差异均具有统计学意义(P<0.05)。实验组治疗总有效率93.33%高于对照组85.83%,但差异无统计学意义(P>0.05)。结论在早产儿治疗时通过PICC置管能够建立安全、有效的静脉通道,确保营养、药物供给,减少穿刺及留置并发症发生率,值得推荐。
Objective To analyze application and related nursing effect of peripherally inserted central catheter （PICC） in premature infants. Methods A total of 240 premature infants were randomly divided into experimental group and control group, with 120 cases in each group. The experimental group received PICC for treatment, and the control group received peripheral intravenous retention transfusion for treatment. Treatment and nursing effects were observed in the two groups. Results Basilic vein was applied mostly for venipuncture in the experimental, accounting for 61.67% （74/120）, and popliteal space vein was applied as the least, accounting for 0.83% （1/120）. All 120 cases in the experimental group received successful intubation, with success rate as 100.00%. The experimental group had longer catheter retaining time as （20.25 ±7.86） d than （4.15 ± 1.16） d in the control group, and it had less puncture times as （3.98±4.05） times than （15.25 ± 5.86） times. The experimental group had lower incidence of mechanical phlebitis, puncturing site infection and incomplete tube plugging as complications than the control group. Their differences all had statistical significance （P〈0.05）. The experimental group had higher total effective rate in treatment as 93.33% than 85.83% in the control group, while their difference had no statistical significance （P〉0.05）. Conclusion Implement of PICC in treating premature infants can provide a safe and effective venous channel to guarantee supplement of nutrition and drug, and to lower incidence of puncture and retaining complications. This method is worthrecommending.
出处
《中国实用医药》
2017年第13期140-142,共3页
China Practical Medicine
关键词
外周中心静脉置管
早产儿
护理
Peripherally inserted central catheter
Premature infants
Nursing
