摘要
目的:探讨早产儿经下肢静脉置入PICC的临床应用效果。方法:将玉林市第一人民医院2020年7月-2022年6月收治的90例符合PICC置入标准的早产儿作为研究对象,根据穿刺路径将其分为A组、B组和C组,每组30例。A组予以下肢静脉穿刺、B组予以头部静脉穿刺,C组予以上肢静脉穿刺。观察三组穿刺成功率、穿刺一般情况、凝血功能及并发症发生率。结果:A组一次穿刺成功率(90.00%)、一次置管成功率(93.33%)均高于B组(70.00%、60.00%),C组(63.33%、56.67%),送管困难率(3.33%)、导管异位率(6.67%)均低于B组(26.67%、26.67%),C组(20.00%、33.33%),差异均有统计学意义(P<0.05),B组和C组对比差异均无统计学意义(P>0.05)。A组操作耗时均短于B组和C组、导管留置时间均长于B组和C组(P<0.05),B组和C组对比差异无统计学意义(P>0.05)。穿刺前与穿刺后第1天三组凝血活酶时间(APTT)、纤维蛋白原(FIB)、凝血酶原时间(PT)对比差异均无统计学意义(P>0.05);A组并发症发生率(10.00%)低于B组(40.00%)和C组(36.67%)(P<0.05),B组和C组对比差异无统计学意义(P>0.05)。结论:早产儿以下肢静脉为穿刺路径置入PICC,可提高穿刺成功率,改善穿刺一般情况,降低并发症发生率且不影响凝血功能。
Objective:To investigate the clinical application of PICC implantation through lower limb veins in premature infants.Method:From July 2020 to June 2022 in the First People's Hospital of Yulin,90 premature infants who met the PICC insertion criteria were taken as the research object,and they were divided into group A,group B and group C according to the puncture route,with 30 cases in each group.Group A received venipuncture of lower limbs,group B received venipuncture of head and group C received venipuncture of upper limbs.The puncture success rate,general puncture condition,coagulation function and complication rate of the three groups were observed.Result:The one-time success rates of puncture and catheterization in group A(90.00%,93.33%)were higher than those in group B(70.00%,60.00%)and group C(63.33%,56.67%).The rates of catheter delivery difficulty(3.33%)and ectopic catheter(6.67%)were lower than those in group B(26.67%,26.67%)and group C(20.00%,33.33%),the differences were statistically significant(P<0.05),there were no statistical significances between group B and group C(P>0.05).Operation time in group A was shorter than that in group B and C,and catheter indwelling time in group A was longer than that in group B and group C(P<0.05),but there were no significant differences between group B and group C(P>0.05).There were no significant differences in thromboplastin time(APTT),fibrinogen(FIB)and prothrombin time(PT)among the three groups before puncture and the first day after puncture(P>0.05).The incidence of complications in group A(10.00%)was lower than that in group B(40.00%)and group C(36.67%)(P<0.05),but there was no significant difference between group B and group C(P>0.05).Conclusion:Using lower limb vein as puncture route in PICC for premature infants can increase puncture success rate,improve general puncture condition,reduce complication rate and not affect coagulation function.
作者
阙秋萍
吴芸
彭婕
郭洁婷
覃素宁
陈丽
张霞
QUE Qiuping;WU Yun;PENG Jie;GUO Jieting;QIN Suning;CHEN Li;ZHANG Xia(The First People's Hospital of Yulin,Guangxi,Yulin 537000,China)
出处
《中国医学创新》
CAS
2023年第9期87-90,共4页
Medical Innovation of China
基金
玉林市科学研究与技术开发计划项目(玉市科20220622)。
关键词
下肢静脉
PICC
一次穿刺成功率
静脉炎
导管异位
Vena of lower limbs
PICC Success rate of one puncture
Phlebitis
Ectopic catheter
