摘要
目的:研究极低与超低出生体重儿PICC导管尖端位置与留置时间及并发症间的关系。方法:2019年3月至2021年8月,采用便利抽样法,选取温州市某三级甲等医院新生儿科住院且PICC置管成功的极低与超低出生体重儿为研究对象。分析不同肢体、不同尖端位置的PICC留置时间、并发症发生率及导管继发移位情况。结果:在PICC留置时间方面,下肢明显长于上肢,T5—T6组长于T4—T5组,T8—T9组长于T9—T10组,差异均有统计学意义(P<0.01)。上下肢之间、T4—T5组与T5—T6组之间总并发症发生率差异无统计学意义(P>0.05);T8—T9组并发症发生率明显低于T9—T10组(P<0.01)。不同尖端位置的PICC导管继发性移位时间点及发生率不同(P<0.05)。结论:对于极低与超低出生体重儿首次PICC置管,建议首选下肢PICC置管;不同尖端位置PICC并发症预防侧重点不同,可根据首次X线尖端定位来预测导管继发性移位时间,及时定位跟踪,做到早发现和早处理。
Objective:To investigate the relationship between position and indwelling time of PICC catheter tip and complications in extremely/very low birth weight infants.Methods:By convenience sampling,extremely/very low birth weight infants with successful PICC catheterization in neonatology department of a tertiary hospital in Wenzhou,Zhejiang province were selected from March 2019 to August 2021.The PICC indwelling time,complication rate and catheter secondary displacement of PICC in different limbs and tip positions were analyzed.Results:The indwelling time of PICC in lower extremity,T5-T6 group and T8-T9 group was significantly longer than that in upper extremity,T4-T5 group and T9-T10 group,respectively(P<0.01).The complication rate in T8-T9 group was significantly lower than that in T9-T10 group,and there was no significant difference among the other groups.The time point of secondary displacement and the rates of PICC catheter at different tip positions were different(P<0.05).Conclusion:Lower limbs PICC is recommended as the first choice for extremely/very low birth weight infants.The prevention way of PICC complications with different tip positions is different.The possible secondary displacement time can be predicted according to the first X-ray tip positioning,and timely positioning and tracking were suggested to do early detection and treatment.
作者
陈晓春
闵玉晓
陈琼
应乐慧
CHEN Xiaochun;MIN Yuxiao;CHEN Qiong;YING Lehui(Department of Neonatology,The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University,Wenzhou,Zhejiang province,325027,China)
出处
《中国护理管理》
CSCD
2022年第12期1887-1892,共6页
Chinese Nursing Management
基金
温州市市科技局项目(Y2020457)。
关键词
PICC
尖端位置
留置时间
并发症
极低出生体重儿
超低出生体重儿
PICC
catheter tip position
indwelling time
complication
extremely low birth weight infants
very low birth weight infants
