新生儿PICC置管长度测量方法的改良及效果观察  

Improvement and Effect Observation of Neonatal PICC Catheter Length Measurement Method

作　　者：方小燕[1] 梁丹清[1] 刘德强[1] 李晓妍[1] 欧阳爱云[1] 

机构地区：[1]深圳市罗湖区人民医院新生儿科,广东深圳518001

出　　处：《解放军护理杂志》2015年第2期65-66,76,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的改进新生儿经右上肢静脉置入PICC导管长度的测量方法。方法便利选取2012年7月至2014年6月在罗湖区人民医院新生儿科行PICC置管的患儿,按时间顺序分为传统组和改良组,传统组测量路线从预穿刺点至右胸锁关节再向下至第3肋间;改良组测量路线从预穿刺点沿静脉走向至右胸锁关节,体质量≥2500g的足月儿加1cm。置管成功后,根据X线胸片确定导管头端的到位情况,比较两组测量方法的准确性。结果改良组PICC置入上腔静脉下1/3处的准确率为92.39%,明显高于传统组的15.11%,差异有统计学意义(P<0.05)。结论应用改良的测量方法,为新生儿经右上肢静脉置入PICC导管,长度更为准确,能有效提高导管头端到位的准确率,确保PICC置管质量和使用安全。Objective To improve the catheter length measurement method of neonatal PICC catheter placement via the right upper extremity venous.Methods By convenience sampling, new born with PICC catheter placement were selected and divided into the traditional group and the improved group according to admission time. The traditional group measurement pathway was from the puncture point to the right chest and then down to the acromioclavicular joint 3rd intercostal space, while the improved group mesuarement pathway was from puncture point along the vein to the right chest lock joint. Full-term infant weight ≥2500 g plus 1 cm.After successful catheter placement,according to X-ray to determine the place of catheter tip case,and accuracy of measurement methods were compared.Results Improved group PICC placement accuracy was superior vena cava lower 1/3 of 92.39%, which was significantly higher than 15.11% of the traditional group（P〈0.05）.Conclusion Using the improved method which of neonatal inserted PICC via the right upper extremity venous, the catheter length is more accurate,which can effectively improve the accuracy of catheter tip in place to ensure the safety of PICC catheter indwelling and usage.

关 键 词：新生儿 PICC置管 置入长度 测量方法 

分 类 号：R472.9[医药卫生—护理学]