广东省三级医院新生儿中心静脉导管留置和冲封管现状调查  

Investigation on indwelling and sealing of neonatal central intravenous catheter at gradeⅢhospitals in Guangdong Province

作　　者：覃李姣[1] 颜斐斐[1] 黄晓睿[2] 沈永珍[2] 林文璇[1] 陈灵 潘继红[1] Qin Lijiao;Yan Feifei;Huang Xiaorui;Shen Yongzhen;Lin Wenxuan;Chen Ling;Pan Jihong(Nursing Department,Guangdong Women and Children Hospital,Guangzhou 511442,China;Department of Neonates,Guangdong Women and Children Hospital,Guangzhou 511442,China)

机构地区：[1]广东省妇幼保健院护理部,广州511442 [2]广东省妇幼保健院新生儿科,广州511442

出　　处：《国际医药卫生导报》2021年第5期658-663,共6页International Medicine and Health Guidance News

基　　金：广东省医学科学技术研究基金项目(A2017611)。

摘　　要：目的了解广东省三级医院新生儿中心静脉导管(CVC)留置和冲封管现状,为探讨新生儿留置CVC的冲管和封管方法提供参考。方法采用便利抽样法,2019年4月至6月对广东省珠三角、粤东、粤西、粤北的三级医院的新生儿科进行多中心现况调查,了解新生儿CVC留置情况及冲封管液种类、浓度、频次的现状。结果广东省开展新生儿CVC的医院集中在珠三角地区,占比71.43%。各医院对新生儿CVC的冲管液、封管液的选择、液体量、频次均不相同,选择生理盐水作为冲管液的医院占比71.43%,另有28.57%的医院选择不同浓度的肝素生理盐水;冲管的液量和频次差异大;选择生理盐水和肝素生理盐水作为封管液的医院各占比50.00%,其中肝素浓度各不一样;封管的液量也不同。结论新生儿CVC冲管液的种类和频率需进一步循证,新生儿CVC封管液的选择需要在管道堵塞率和液体对患者的风险中权衡,早产儿应更加慎重。Objective To understand the indwelling and sealing of neonatal central intravenous catheter(CVC)at gradeⅢhospitals in Guangdong Province,and to provide references for indwelling neonatal CVC.Methods The convenience sampling method was used to investigate the neonatal departments of tertiary hospitals in the pearl river delta and east,west,and north Guangdong between April and June,2019 so as to understand the status of CVC indwelling and the types,concentrations,and use frequencies of sealing fluid.Results The hospitals in Guangdong province that carry out neonatal CVC are concentrated in the Pearl River Delta region,accounting for 71.43%.And the choice,volume,and use frequency of flushing and sealing fluid for neonatal CVC vary between hospitals.The proportion of the hospitals choosing normal saline as flushing fluid was 71.43%,and 28.57%hospitals chose different concentrations of heparin saline.The proportions of normal and heparin saline as sealing fluid were 50.00%;the heparin concentrations were different;and the amounts of sealing fluid were different.Conclusion The types and use frequencies of neonatal CVC flushing fluid are different,which requires further evidences.The selection of neonatal CVC sealing fluid needs to be weighed between the rate of pipeline blockage and the risk of fluid to patients,especially for premature infants.

关 键 词：新生儿中心静脉导管 留置现状 冲管 封管 

分 类 号：R473.72[医药卫生—护理学]