双下肢同步消毒在极低出生体质量儿PICC穿刺中的应用效果  

Application effect of synchronous disinfection of lower limbs in PICC puncture of very low birth weight infants

作　　者：秦怡 羊芸[1] Qin Yi;Yang Yun(Department of Neonatal Intensive Care Unit,Obstetrics&Gynecology Hospital of Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院新生儿重症监护室,上海200011

出　　处：《中国实用护理杂志》2020年第6期407-411,共5页Chinese Journal of Practical Nursing

基　　金：上海卫生计生系统重要薄弱学科建设计划(妇产科护理)(2015ZB0303)。

摘　　要：目的探讨在极低出生体质量儿下肢经外周静脉穿刺置入中心静脉导管(PICC)时使用双下肢同步消毒与单侧肢体消毒的研究,寻找更优、更安全的穿刺消毒方法。方法选取2016年1月至2017年2月30例采用单侧肢体消毒法的患儿为对照组,2017年3月至2018年6月30例采用双下肢同步消毒法为试验组,采用非随机、非同时期对照研究。对2组操作耗时、出血量、铺无菌台的次数、留置部位进行回顾性分析。结果试验组和对照组双下肢同步消毒时操作耗时分别为(43.67±28.04)min和(60.33±35.40)min,出血量分别为(1.64±0.90)ml和(2.34±1.50)ml,差异均有统计学意义(t值为2.021、2.176,P<0.05)。对照组铺一次无菌操作台就完成PICC操作的比例为76%(21/30),试验组为96%(28/30)。对照组最终有5例经由股静脉留置成功,试验组2例经由股静脉留置成功。结论采用双下肢同步消毒的方法增加了外周静脉的选择,减少铺无菌台次数、出血量及操作耗时,减少经腹股沟静脉穿刺的次数,相对更为安全有效。Objective To explore the study of synchronous disinfection of lower limbs and unilateral limb disinfection when peripheral inserted central catheters is inserted into the lower limbs of very low birth weight infants,and to find a better and safer method of puncture disinfection.Methods Total of 30 cases of children who received unilateral limb disinfection from January 2016 to February 2017 were selected as the control group,and 30 cases of children who received simultaneous disinfection of both lower limbs from March 2017 to June 2018 were selected as the experimental group,and non-random and non-synchronous control studies were conducted.The operation time,blood loss,times of placing sterile table and retained site of the two groups were analyzed retrospectively.Results The operation time of synchronous disinfection of lower limbs in the experimental group and the control group were(43.67±28.04)min,(60.33±35.40)min;the amount of blood loss were(1.64±0.90)ml,(2.34±1.50)ml,the differences were statistically significant(t values were 2.021,2.176,P<0.05).In the control group,76%(21/30)completed the PICC operation after laying a sterile operation table,while in the experimental group,96%(28/30)did.In the control group,5 cases were successfully indwelling via femoral vein,and in the experimental group,2 cases were successfully indwelling via femoral vein.Conclusion The method of simultaneous disinfection of lower limbs increases the selection of peripheral veins,reduces the frequency of sterile table,blood loss and operation time,and reduces the number of inguinal vein puncture,which is relatively safe and effective.

关 键 词：消毒方法 极低出生体质量儿 下肢PICC穿刺 

分 类 号：R473[医药卫生—护理学]