经外周静脉穿刺中心静脉置管在新生儿科重症监护室的应用研究  

Application of peripherally inserted central catheter in Neonatal Intensive Care Unit

作　　者：李哲 闫敏 任亚婷 曹玉晖 LI Zhe;YAN Min;REN Yating;CAO Yuhui(Department of Neonatology,Shangluo City Central Hospital,Shangluo,Shaanxi,726000)

机构地区：[1]陕西省商洛市中心医院新生儿科,陕西商洛726000

出　　处：《实用临床医药杂志》2020年第18期116-119,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨经外周静脉穿刺中心静脉置管(PICC)在新生儿科重症监护室(NICU)的应用及护理。方法选择本院NICU行PICC置管治疗的新生儿94例为研究对象,随机分为对照组与研究组,每组47例。对照组采取常规护理,研究组在常规护理基础上采取综合护理措施。比较2组PICC置管相关并发症情况、1次置管成功率、非计划性拔管发生率,以及新生儿家属护理满意度。结果研究组1次置管成功率、新生儿家属护理服务总满意率高于对照组,非计划性拔管发生率、PICC置管相关并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论PICC置管辅以综合护理措施应用在NICU新生儿中能够有效降低并发症率,保证置管效果,提高新生儿家属的护理满意度。Objective To explore the application and nursing of peripherally inserted central catheter (PICC) in Neonatal Intensive Care Unit (NICU). Methods Totally 94 neonates with PICC in NICU were selected and randomly divided into control group and study group,with 47 cases in each group. The control group was conducted with routine nursing measures,and the study group was conducted with comprehensive nursing measures on the basis of the control group. The complications related to PICC catheterization,the success rate of catheterization by one time,the incidence of unplanned extubation and the nursing satisfaction degree of neonatal family members were compared between the two groups. Results The success rate of one-time catheterization and the total satisfaction degree of neonatal family members to nursing service in the study group were significantly higher than those in the control group,while the incidence rates of unplanned extubation and PICC related complications in the study group were significantly lower than those in the control group (P < 0. 05). Conclusion Application of PICC catheterization combined with comprehensive nursing measures can effectively reduce the incidence rate of complications in NICU newborns,ensure the catheterization effect,and increase the nursing satisfaction degree of neonatal family members.

关 键 词：经外周静脉穿刺中心静脉置管 新生儿科学 重症监护室 非计划性拔管 

分 类 号：R608[医药卫生—外科学]