摘要
目的 :探讨留置针联合改良的塞丁格技术在新生儿PICC置管中的应用效果。方法 :将2016年1月至2016年12月期间泰安市中心医院儿科收治的292例患儿随机分为改良组和盲穿组,每组各有146例患儿。用传统的盲穿法为盲穿组患儿进行PICC置管,用留置针联合改良的塞丁格技术为改良组患儿进行PICC置管。治护结束后,观察两组患儿一次性置管的成功率、穿刺点出血的发生率及静脉炎的发生率。结果 :改良组患儿一次性置管的成功率明显高于盲穿组患儿,差异具有统计学意义(P<0.05)。改良组患儿穿刺点出血的发生率及静脉炎的发生率均明显低于盲穿组患儿,差异具有统计学意义(P<0.05)。结论 :用留置针联合改良的塞丁格技术为新生儿进行PICC置管可显著提高其一次性置管的成功率,降低其穿刺点出血及静脉炎的发生率。
Objective To investigate the effect of indwelling needle combined modified Seldinger technique on neonatal PICC catheterization. Methods Randomly divide 296 cases of child patients received and treated from January to December 2016 in Pediatrics Department of Tai＇an Central Hospital into modified group and control group. Cathetering for control group with blinding pinning, cathetering for modified group with indwelling needle combined modified Seldinger technique. Compare one-time catheterization success rate, puncture point bleeding rate and phlebitis incidence rate of two groups. Results： The one-time catheterization success rate of modified group was significantly higher than control group（P0.05）. The puncture point bleeding rate and phlebitis incidence rate of modified group was significantly lower than control group（P0.05）. Conclusion： Apply indwelling needle combined modified Seldinger technique on neonatal PICC catheterization can increase one-time catheterization success rate decrease puncture point bleeding rate and phlebitis incidence rate.
作者
周忠梅
曹营卿
Zhou Zhongmei Cao Yingqing(Pediatrics Department of Tai＇ an Central Hospital, Tai＇ an Shandong 271000)
关键词
PICC置管
新生儿
留置针
改良的塞丁格技术
PICC catheterization
neonatal
indwelling needle
modified Seldinger technique
