PICC置管输液在极低出生体重儿中的临床效果研究  

Clinical effect of PICC catheter infusion in very low birth weight infants

作　　者：杨秋容 吴敏[1] 钟奎英 YANG Qiu-rong WU Min ZHONG Kui-ying(Department of Neonatology,the Maternal and Child Health Hospital in Huidong County in Guangdong Province,Huidong 516300,China)

机构地区：[1]广东省惠东县妇幼保健院新生儿科,广东惠东516300

出　　处：《中国当代医药》2017年第22期157-159,共3页China Modern Medicine

基　　金：广东省惠州市科技计划项目(2013Y230)

摘　　要：目的探讨经外周静脉置入中心静脉导管(PICC)输液治疗在极低出生体重儿中的临床效果。方法本院将2013年12月~2016年12月收治的132例极低体重儿作为本次的研究对象,根据治疗方法将其分为对照组与观察组,各66例,对照组采取外周浅静脉留置针,观察组采用PICC置管输液治疗。比较两组导管留置时间、并发症发生情况、住院时间及平均体重增长。结果观察组患儿导管留置时间[(20.02±2.32)d]长于对照组[(7.56±0.95)d],并发症发生率(12.12%)低于对照组(77.27%),住院时间[(37.5±2.34)d]短于对照组[(43.12±3.10)d],平均体重增长[(20.36±4.12)g/d]快于对照组[(15.31±4.17)g/d],差异有统计学意义(P<0.01)。结论在极低出生体重儿实施经外周静脉置入中心静脉导管输液治疗过程中,实施并发症临床预警处理干预,能控制并发症的发生,减少不良刺激,缩短住院天数,患儿体重获得满意增长,比应用留置针输液效果显著,值得进行探讨和临床推广应用。Objective To explore the clinical effect of peripherally inserted central catheter（PICC） infusion in very low birth weight infants.Methods 132 very low birth weight infants in our hospital from December 2013 to December 2016 were selected and divided into the observation group and the control group according to the treatment method,with 66 cases in each group.The control group was given peripheral superficial venous indwelling needle,while the observation group was given PICC.The ductal indwelling time,the incidence of complication,hospital stays and average speed of weight increasing were compared between two groups.Results The ductal indwelling time in the observation group[（20.02±2.32）d] was longer than that in the control group [（7.56 ±0.95）d],the incidence of complication（12.12%） was lower than that in the control group（77.27%）,the hospital stays [（37.5±2.34）d] was shorter than that in the control group[（43.12±3.10）d],the average speed of weight [（20.36±4.12）g/d] was faster than that in the control group [（15.31±4.17）g/d],and the differences were statistically significant（P〈0.01）.Conclusion Implemented in very low birth weight via peripheral vein in central venous catheter infusion treatment process,the implementation of clinical complications early warning treatment intervention,can control the occurrence of complications, reduce undesirable stimulation,shorten the hospitalization days, satisfactory growth in children with weight,than the iv infusion effect is significant,worthy of discussion and clinical application.

关 键 词：极低出生体重儿 外周静脉置入中心静脉导管 外周浅静脉留置针 

分 类 号：R473-72[医药卫生—护理学]