新生儿经颞浅静脉置入PICC置管长度测量方法的改良及效果评价  

Improvement and evaluation of the method for measuring the length of PICC catheter through superficial temporal vein in newborns

作　　者：谢帅华[1] 段颖杰[1] 吴旭红[1] 骆小京[1] 马楠[1] XIE Shuaihua;DUAN Yingjie;WU Xuhong;LUO Xiaojing;MA Nan

机构地区：[1]北京国家儿童医学中心/首都医科大学附属北京儿童医院新生儿重症监护室,100045

出　　处：《中华护理杂志》2020年第3期445-447,共3页Chinese Journal of Nursing

摘　　要：目的改良新生儿经颞浅静脉置入PICC测量置管长度的方法,并评价其效果。方法选取北京市某三级甲等医院新生儿重症监护室实施经颞浅静脉置入PICC的171例新生儿作为研究对象,将2017年6月-2019年4月经颞浅静脉置入PICC的90例新生儿作为试验组,将2016年3月-2017年5月经颞浅静脉置入PICC的81例新生儿作为对照组,比较不同测量置管长度方法对PICC尖端到位率及置管完成时间的影响。结果试验组经颞浅静脉置入PICC尖端到位率为83.33%,对照组为28.39%,差异具有统计学意义(P<0.001)。结论采用改良法测量新生儿经颞浅静脉置入PICC置管长度,能有效提高PICC导管尖端到达理想位置的精准度,并缩短了PICC置管完成时间。Objective To improve the method of measuring the length of PICC catheter through superficial temporal vein and evaluate its effects. Methods 171 neonates were enrolled and divided into 2 groups based on the time sequence. 90 newborns with PICC from June 2017 to April 2019 were selected as the experimental group,and 81 newborns with PICC from March 2016 to May 2017 were selected as the control group. Methods of measuring cathetering length between 2 groups were compared by the placement rate of PICC tip and completion time of its placement. Results The placement rate of PICC tip was 83.33% in the experimental group and 28.39%in the control group. The difference was statistically significant(P<0.001). Conclusion The improved method to measure the length of PICC catheterization through the superficial temporal vein in neonates effectively improves the accuracy of the tip of PICC catheterization to reach the ideal position,and reduces the completion time of PICC catheterization.

关 键 词：重症监护病房 新生儿 经外周置入中心静脉导管 颞浅静脉 儿科护理学 

分 类 号：R473.72[医药卫生—护理学]