新生儿PICC导管相关并发症因素分析及防范干预  

Analysis of factors related to complications of PICC catheter in neonates and its preventive interventions

作　　者：唐霞 黄颖兰 华祎 TANG Xia;HUANG Ying-lan;HUA Yi

机构地区：[1]江苏省常州市儿童医院新生儿科,常州市213003

出　　处：《护理实践与研究》2019年第5期10-12,共3页Nursing Practice and Research

摘　　要：目的探讨新生儿PICC置管后并发症的相关因素,并就此提出相应防范干预措施。方法选取我院2016年5月至2018年5月收治的PICC置管新生儿60例,其中有13例患儿发生置管并发症作为发生组,47例患儿未发生置管并发症作为未发生组,收集患儿性别、胎龄、出生体重、置管位置、置管时间、导管堵塞、导管部分脱出、是否外部加固、导管尖端达到预期位置、是否连续输液、输注液类型、冲管频率等资料,并采用SPSS20. 0软件和logistic回归分析。结果经logistic多因素回归分析发现,体重<1500 g、外部未加固、导管尖端未达到预期位置、连续输液为影响新生儿PICC导管并发症的影响因素。结论新生儿PICC置管后发生相关并发症主要与患儿低体重、外部未加固、导管尖端未达到预期位置、连续输液有关,因此,应加强护理人员专业技术操作培训和考核。Objective To explore the related factors of complications after neonatal PICC catheterization, and to propose corresponding preventive intervention measures. Methods A total of 60 newborns with PICC catheterization in our hospital from May 2016 to May 2018 were selected as the study subjects. Among them, 13 newborns who had catheterization complications were selected as the occurrence group, and 47 newborns who didn’t have catheter complications were selected as the non-occurrence group. Data such as gender, gestational age, birth weight, catheterization position, catheterization time, catheter blockage, partial catheterization, external reinforcement, catheter tip to the desired position, continuous infusion, infusion type, and frequency of washing pipe of newborns were counted and analyzed by SPSS 20.0 software and logistic regression analysis. Results Logistic multivariate regression analysis results showed that body weight<1,500g, external unreinforced, catheter tip did not reach the expected position, and continuous infusion were the influencing factor affecting neonatal PICC catheter complications. Conclusion The related complications after neonatal PICC catheterization are mainly related to the low body weight of the child, the external reinforcement, the catheter tip not reaching the expected position, and continuous infusion. Therefore, the professional technical operation training and assessment of the nursing staff should be strengthened.

关 键 词：新生儿 PICC 并发症 因素分析 防范措施 

分 类 号：R473.72[医药卫生—护理学]