脐静脉置管术与周围静脉留置针在危重新生儿抢救中应用比较  

作　　者：林志波[1] 张南山[1] 杨民招 杨秋容 

机构地区：[1]惠东县妇幼保健院新生儿科,516300

出　　处：《当代医学》2009年第6期23-24,共2页Contemporary Medicine

摘　　要：目的评价脐静脉置管术(UVC)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。方法回顾总结我院新生儿科2007年6月～2008年10月86例放置UVC和92例置PIV的危重新生儿的临床资料,比较两组的临床应用情况。结果UVC组置管期间并发症发生率为13.95%,PIV组为70.4%,两组差异有统计学意义("P<0.05")。UVC组静脉治疗持续时间为(8.61±3.6)天,PIV组静脉治疗持续时间为(7.9±3.2)天,两组差异无统计学意义("P<0.05")。置管期间UVC组患儿的体重增长为(35.8±12.5)g/d,PIV组患儿的体重增长为(32.8±14.6)g/d,两组差异无统计学意义("P<0.05")。结论UVC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,值得在NICU中推广应用。Objectives to investigate the effectiveness and safety of umbilical vein catheters （UVC）and peripheral intravenous catheters（PIV） in neonates. Methods A retrospective review of neonates with UVC（n=86） and PIV（n=92） was conducted to determinc if there wcre differcncc in calthetcr-related complication rates,duration of IV use and average weight gain between them. Results The complication rates were significantly lowcr in the UVC group than that of the PIV group（P〈0.05）.Thcrc was no difference in in the duration IV use between the two groups and average weight gain（P〉0.05）. Conclusions UVC lines reduced the catheter-related complications, Worthy of in the NICU expansion application.

关 键 词：脐静脉置管术 周围静脉留置针 危重新生儿 临床分析 

分 类 号：R722.1[医药卫生—儿科]