不同送管方法对极低出生体重儿经外周静脉置入中心静脉导管颈内导管异位发生的影响  

Effect of different postures for PICC intubation through basilic vein in very low birth weight infants

作　　者：李于凡[1] 陈丽萍[1] 崔其亮[1] 刘丹[1] 

机构地区：[1]广州医科大学附属第三医院,广东广州510140

出　　处：《现代临床护理》2016年第5期37-39,共3页Modern Clinical Nursing

摘　　要：目的探讨不同送管方法对极低出生体重儿经外周静脉置入中心静脉导管（peripherally insertedcentral catheter,PICC）颈内导管异位发生的影响。方法将2013年10月~2014年9月经贵要静脉行PICC置管的80例极低出生体重儿设为对照组;将2014年10月~2015年9月经贵要静脉行PICC置管的80例极低出生体重儿设为观察组,两组在PICC置管过程中,均采用传统的转颈法预防颈内导管异位发生,观察组当导管头端到达肩部时将穿刺侧上肢向头部上举与操作平台形成30°,送入导管至所需长度。观察两组颈内导管异位发生情况。结果观察组PICC颈内导管异位发生率低于对照组,两组比较,差异有统计学意义（P〈0.05）。结论行PICC置管中,在传统的转颈法基础上,当导管头端到达肩部时将极低出生体重儿上肢向头部上举与操作平台形成30°,可降低颈内导管异位发生率,从而提高PICC置管成功率。Objective To explore effect of different postures for PICC intubation through basilic vein in very low birth weight infants. Methods Eighty infants from Oct. 2013 to Sep. 2014 with PICC via basilic vein were set as the control group in which traditional method of preventing catheter displacement was applied, another 80 cases from Oct. 2014 to Sep. 2015 were divided to the observation group. And improved method was applied in the experiment group besides the traditional method. The ectopic occurrence rates of the two groups were compared. Result The ectopic rate of PICC catheters in the observation group was significantly lower than that of the control group （P〈0.05）. Conclusion When the catheter tip reaches the shoulder of the very low birth weight infants, the method of raising their upper limbs slightly to the head can reduce the ectopic incidence of catheters and thereby improve the success rate of PICC intubation.

关 键 词：极低出生体重儿 经外周静脉穿刺置入中心静脉导管 颈内导管异位 

分 类 号：R473.72[医药卫生—护理学]