新生儿有创血压监测使用胫后动脉置管的可行性  

Invasive blood pressure monitoring through posterior tibial artery in neonates

作　　者：林彩凤[1] 郭舒文[1] 张淑芸[1] 曾丽丽[1] 张秀虹[1] 戴冬凰 

机构地区：[1]福建医科大学附属漳州市医院NICU,福建漳州363000

出　　处：《护理学杂志》2015年第9期14-16,共3页

摘　　要：目的探讨危重新生儿有创血压监测使用胫后动脉置管的可行性及效果。方法将收治NICU行动态血压监测的62例新生儿随机分为两组。观察组32例采用胫后动脉置管,对照组30例采用桡动脉置管,比较两组置管一次性穿刺成功率、留置时间及并发症发生率。结果两组置管留置时间、穿刺点渗血发生率比较,差异有统计学意义(P<0.05,P<0.01),两组一次性穿刺成功率及血肿、堵管、栓塞发生率比较,差异无统计学意义(均P>0.05)。结论采用胫后动脉置管对新生儿进行持续有创血压监测,可延长置管留置时间,降低穿刺点渗血发生率,为动脉置管提供了新的途径。Objective To explore the feasibility and effectiveness of invasive blood pressure monitoring through posterior tibial artery in neonates.Methods Sixty-two neonates admitted to NICU,who needed ambulatory blood pressure monitoring,were randomly divided into two groups.The experimental group of 32 cases received arterial catheterization through the posterior tibial artery,while the control group of 30 cases through the radial artery.The success rates of one-time puncture,the catheter indwelling time and the incidence rates of complications were compared.Results Significant differences were observed in the catheter indwelling time and the incidence rates of bleeding between the two groups（P〈0.05,P〈0.01）,while there were no significant differences in the success rates of one-time puncture,as well as the incidence rates of hematoma,tube blocking and embolism（P〉0.05 for all）.Conclusion Invasive blood pressure monitoring through posterior tibial artery in neonates can prolong the indwelling time and lower the incidence rates of bleeding after catheterization.It provides a new choice for arterial catheterization.

关 键 词：新生儿 胫后动脉 桡动脉 动脉留置导管 有创血压监测 

分 类 号：R473.72[医药卫生—护理学]