经外周置入中心静脉导管与周围静脉留置针在危重新生儿中应用效果比较  

Clinical effectiveness of peripherally inserted central catheters(PICC)and peripheral intravenous catheters(PIV)in neonates

作　　者：徐健蓉[1] 蔡威[1] 汤庆娅[1] 陶晔璇[1] 

机构地区：[1]上海交通大学医学院附属新华医院临床营养中心,上海200092

出　　处：《临床儿科杂志》2007年第11期946-949,共4页Journal of Clinical Pediatrics

基　　金：国家"十五"科技攻关项目(No.2004BA709B09)

摘　　要：目的评价经外周置入中心静脉导管(PICC)和周围静脉留置针(PIV)在危重新生儿静脉输液中的临床效果。方法回顾性总结2001年8月至2007年2月113例放置PICC和102例置PIV的新生儿的临床资料,比较两组的临床应用情况。结果PICC组置管期间并发症的发生率为31.6%,PIV组为70.4%,两组差异有统计学意义(P<0.05)。PICC组静脉治疗持续时间为(22.5±13.4)d,PIV组静脉治疗持续时间为(14.7±9.6)d,两组差异有统计学意义(P<0.05)。置管期间PICC组患儿的体重增长为(16.6±12.5)g/d,PIV组体重增长为(14.4±22.1)g/d,差异无统计学意义(P>0.05)。结论PICC可显著减少静脉导管相关并发症的发生和静脉穿刺的次数,延长静脉留置时间。Objectives To investigate the effectiveness and safety of peripherally inserted central catheters （PICC） and peripheral intravenous catheters （PIV） in neonates. Methods A retrospective review of neonates with PICC （n = 113） and PIV （n = 102） was conducted to determine if there were difference in catheter-related complication rates, duration of IV use and average weight gain between them. Results The complication rates were significantly lower in the PICC group than that of the PIV group （P 〈 0.05） . There was significantly difference in the duration IV use between the two groups （P 〈 0.05）, but no significant difference in average weight gain （P 〉 0.05） . Conclusions PICC lines reduced the catheter-related complications and may prolong the duration of IV use.

关 键 词：经外周置人中心静脉导管 周围静脉留置针 新生儿 

分 类 号：R720.597[医药卫生—急诊医学]