思乐扣固定对PICC置管新生儿置管质量和安全性的影响  

Statlock fixation for newborns treated with peripherally inserted central catheter and its effects on catheter quality and safety

作　　者：游勇[1] 万静[1] YOU Yong, WAN Jing(Neonatal Department, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Healthcare Group Huangshi 435000, Chin)

机构地区：[1]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)新生儿科,湖北黄石435000

出　　处：《中国医学物理学杂志》2018年第3期353-357,共5页Chinese Journal of Medical Physics

摘　　要：目的:探讨思乐扣固定对经外周静脉穿刺中心静脉导管(PICC)置管新生儿置管质量和安全性的影响。方法:选取2014年3月至2017年3月鄂东医疗集团黄石市中心医院收治的PICC置管新生患儿100例,依据固定方法分为思乐扣组和敷贴组,每组50例,敷贴组给予3M透明敷贴固定干预,思乐扣组给予思乐扣固定干预,比较分析两组置管质量和安全性。结果:思乐扣组干预后7、15 d的自制《PICC置管新生患儿舒适量表》评分明显高于敷贴组,差异有统计学意义(P<0.05);思乐扣组置管并发症发生率、PICC脱落率明显低于敷贴组,思乐扣组PICC留置时间明显高于敷贴组,差异有统计学意义(P<0.05)。结论:思乐扣固定可有效改善PICC置管新生患儿置管舒适度,有利于提高新生患儿的置管质量和安全性,值得临床作进一步推广。Objective To discuss the effects of Statlock fixation for newborns treated with peripherally inserted central catheter （PICC） on catheter quality and safety. Methods Admitted to Huangshi Central Hospital of Edong Healthcare Group between March 2014 to March 2017, 100 newborns treated with PICC were selected. According to the fixation method, the selected patients were divided into Statlock group and application group, 50 cases in each group. The patients in application group received 3M transparent application fixation intervention, while those in Statlock group was treated with Statlock intervention. The catheter quality and safety between two groups were compared and analyzed. Results At 7 and 15 d after intervention, self-made PICC child comfort scale, PNC, was applied to evaluate the comfort degree of newborns, and the results revealed that the PNC scores of Statlock group were significantly higher than those of application group, with statistical significance （P〈0.05）. Compared with application group, Statlock group had significantly lower complication incidence and reduced PICC shedding rate as well as longer PICC indwelling time, with statistical differences （P〈0.05）. Conclusion Statlock fixation effectively improves the comfort degree of newborns treated with PICC, which is helpful to improve the catheter quality and safety, worthy of further clinical promotion.

关 键 词：新生儿 思乐扣 经外周静脉穿刺中心静脉导管 置管质量 安全性 

分 类 号：R472[医药卫生—护理学]