改良体位在早产儿PICC导管异位于不同位置的处理效果观察  

Observation on Improved Posture in the Premature Infant PICC Catheter of Different Treatment Effect in Different Location

作　　者：邓桂珍[1] 谭瑞贞 

机构地区：[1]南方医科大学附属佛山妇幼保健院,广东佛山528000

出　　处：《中国医学创新》2015年第18期88-90,共3页Medical Innovation of China

基　　金：广东省佛山市科技局立项课题(201308045)

摘　　要：目的:探讨改良体位在早产儿PICC导管异位于对侧锁骨下和腋静脉的处理效果。方法:选取2013年6月-2014年12月行PICC置管导管尖端异位于对侧锁骨下(A组)和腋静脉(B组)的早产儿,分别采用不同的改良体位方法对异位的导管进行调整,监测调整后效果。结果:异位于对侧锁骨下静脉试验A组一次纠正成功率高于对照A组,差异有统计学意义(P<0.05),异位于腋静脉试验B组一次纠正成功率与对照B组比较差异无统计学意义(P>0.05)。异位于对侧锁骨下和腋静脉试验组导管留置时间与对照组比较差异均有统计学意义(P<0.05),而静脉炎发生率比较差异均无统计学意义(P>0.05)。结论:采取改良体位对PICC导管异位于对侧锁骨下和腋静脉进行正位,操作简单、方便,可以减少输液外渗,减少患者的痛苦,减轻家庭负担。Objective：To study the treatment effect of improved posture,located at the side of the subclavian and axillary vein catheter in premature infant PICC catheter.Method：Premature infants with PICC catheter from June 2013 to December 2014 were selected,whose tips were on the side of the subclavian and axillary vein. Different methods were used to improved posture of ectopic catheter adjustment, monitoring after adjustment effect.Result：The contralateral subclavian vein experimental A group once correct success rate was higher than the control A group,with statistically significant differences（P〈0.05）,the axillary vein once correct success rate in the experimental B group was higher than the control B group,no statistical significance（P〈0.05）.Catheteriztion time in the contralateral subclavian and axillary vein catheter of the experimental group had obvious differences statistically significant（P〈0.05）.Two groups in the incidence of phlehitis had no statistical significance difference（P〈0.05）.Conclusion：Adopting improved position in PICC catheter is carried out in the side of the subclavian and axillary vein,it is a simple operation,conveniently reduce the transfusion exosmosis,the suffering painess of patients and the burdens of families.

关 键 词：早产儿 PICC导管 异位 改良体位 纠正方法 

分 类 号：R473.72[医药卫生—护理学]