脐静脉置管联合经外周中心静脉置管在早产儿治疗中的应用被引量：1

Application of umbilical vein catheterization combined with peripheral central vein catheterization in the treatment of premature infants

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摘要目的:探究脐静脉置管联合经外周中心静脉置管(PICC)在早产儿治疗中的应用效果。方法:2018年4月-2020年11月收治早产儿60例,根据临床应用情况分为2018年4月-2019年3月的单独PICC组与2019年4月-2020年11月的脐静脉加PICC组。比较两组导管并发症发生率、治疗效果与PICC置管穿刺成功率。结果:脐静脉加PICC组并发症发生率低于单独PICC组,差异有统计学意义(P<0.05);脐静脉加PICC组患儿恢复出生体重时间、达到足量喂养时间及住院时间均低于单独PICC组,差异有统计学意义(P<0.05);脐静脉加PICC组PICC置管的1次穿刺成功率高于对照组,差异有统计学意义(P<0.05)。结论:在早产儿治疗中应用脐静脉置管联合PICC,可有效提高安全性,降低并发症发生率,加快早产儿身体恢复、健康成长。 Objective:To explore the effect of umbilical vein catheterization combined with peripheral central vein catheterization in the treatment of premature infants.Methods:From April 2018 to November 2020,60 cases of premature infants were enrolled,the patients were divided into PICC group from April 2018 to March 2019 and umbilical vein+PICC group from April 2019 to November 2020 according to clinical application.The incidence rate of complications,therapeutic effect and success rate of PICC catheterization were compared between the two groups.Results:The incidence rate of complications in umbilical vein+PICC group was lower than that in PICC group,the difference was statistically significant(P<0.05).The recovery time of birth quality,sufficient feeding time and length of hospital stays in the umbilical vein+PICC group were lower than those in the single PICC group,the differences were statistically significant(P<0.05).The success rate of first puncture in the umbilical vein+PICC group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of umbilical vein catheterization combined with peripheral central vein catheterization in the treatment of premature infants can effectively improve the safety,reduce the incidence rate of complications and accelerate the recovery and healthy growth of patients.

作者章飞辉 Zhang Feihui(Department of Neonatology,the People's Hospital of Xiangxiang City,Hunan Xiangxiang 411400)

机构地区湘乡市人民医院新生儿科

出处《中国社区医师》 2020年第35期77-78,共2页 Chinese Community Doctors

关键词脐静脉置管经外周中心静脉置管早产儿并发症 Umbilical vein catheterization Transcatheter peripheral central vein catheterization Premature infants Complications

分类号 R722.6 [医药卫生—儿科]

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