经外周置入中心静脉导管置管在新生儿重症监护室中的临床应用与护理  

Peripherally inserted central venous catheters in the neonatal intensive care unit and nursing clinical application

作　　者：陆丽华[1] 谭宝琴 韦婷[1] 

机构地区：[1]南方医科大学附属小榄医院新生儿科,广东中山528415

出　　处：《中国医刊》2015年第6期70-72,共3页Chinese Journal of Medicine

基　　金：广东省中山市医学科学基金(J2012125)

摘　　要：目的探讨针对新生儿重症监护室(neonatal intensive care unit,NICU)新生儿,实施经外周置入中心静脉导管(peripherally inserted central catheter,PICC)获得的临床效果以及护理体会。方法对150例NICU新生儿实施PICC留置术,在置管过程中配合对患儿实施护理。通过随机数表法将所有NICU患儿分为D1组(观察组75例)与D2组(对照组75例),对D1组患儿配合实施常规护理与护理干预相结合的综合性护理措施,与实施常规护理的D2组进行对比。结果 D1组75例患儿,成功置管患儿72例,置管成功率为96.00%;D2组75例患儿,成功置管患儿53例,置管成功率为70.67%。对比D1组与D2组患儿的置管成功率,D1组高于D2组患儿明显(P<0.05)。在出现并发症方面,D1组优于D2组患儿极为显著(P<0.05)。结论同以往的静脉切开方式比较,PICC表现了许多优点,因此针对NICU患儿获得了极为广泛的应用,为患儿的抢救成功和疾病的准确诊断、治疗提供了可靠依据。Objective To investigate for the neonatal intensive care unit （ NICU） newborns, implementation of clini-cal effects of peripherally inserted central catheter （ PICC） obtained and Nursing . Method A hospital in November 2011, November 2013 NICU newborn 150 cases, the implementation of all children with PICC catheter technique . In the catheterization process with the implementation of care for children . By a random number table method will all NICU were divided into D1 group （ observation group, 75 cases ） and D2 group （ control group 75 cases ） . D2 group patients with the implementation of routine nursing;comprehensive nursing measures were given routine nurs-ing care and nursing intervention on children with a combination of D1 group. Clinical results after completion of treatment compared two groups of children NICU obtained, as well as cases of clinical complications . Result For the D1 group of 75 cases of children, children with 72 cases of successful catheter, catheter success rate of 96. 00%;for the D2 group of 75 cases of children, children with 53 cases of successful catheter, catheter success rate of 70. 67%. Compared with catheter success rate, D1 group was significantly higher than D2 group （P〈0. 05）. In terms of complications, D1 group was superior than the D2 group of children with highly significant （P〈0. 05）. Conclusion Compared with the previous phlebotomy way, PICC demonstrated many advantages, so NICU for chil-dren to get a very wide range of applications . In the process of implementation of the rescue of critically ill chil-dren, has become the primary means for the successful rescue of children laid the foundation for an accurate diagno-sis and treatment of diseases of the disease to provide a reliable basis.

关 键 词：经外周置入中心静脉导管 新生儿重症监护室 护理 并发症 

分 类 号：R473.72[医药卫生—护理学]