脐静脉置管序贯经外周穿刺中心静脉置管对早产低出生体重儿的临床效果观察  

Clinical effect of sequential therapy of umbilical vein catheterization and peripherally inserted central catheter catheterization in preterm low-birth-weight infants

作　　者：郭丹苗 邓永锋 余兆聪 GUO Dan-miao;DENG Yong-feng;YU Zhao-cong(Gaoyao District People’s Hospital,Zhaoqing 526040,China)

机构地区：[1]高要区人民医院,526040

出　　处：《中国实用医药》2021年第19期50-52,共3页China Practical Medicine

摘　　要：目的观察脐静脉置管(UVC)序贯经外周穿刺中心静脉置管(PICC)对早产低出生体重儿的临床效果。方法35例早产低出生体重儿,依据随机抛硬币法将其分为对照组(17例)与观察组(18例)。两组患儿治疗前进行置管,便于后期喂养及给液、给药,对照组患儿采取UVC联合外周静脉穿刺输液,观察组患儿则采取UVC序贯PICC,对比两组置管相关指标及恢复指标。结果观察组中心静脉压(CVP)测量成功率为100.00%、管道留置时间为(14.99±3.21)d,均优于对照组的76.47%、(8.24±2.31)d,差异有统计学意义(P<0.05);观察组置管成功率高于对照组,非计划拔管发生率、感染发生率低于对照组,但差异无统计学意义(P>0.05)。观察组住院治疗时间为(27.64±5.64)d,短于对照组的(34.28±5.07)d,差异有统计学意义(P<0.05);观察组出院时体质量高于对照组,但差异无统计学意义(P>0.05)。结论早产低出生体重儿进行治疗时,UVC序贯PICC是较为理想的置管方案,有助于降低并发症发生率,为治疗奠定良好的基础,可最大程度保证患儿健康和安全,临床应用价值显著,值得重视及广泛应用。Objective To observe the clinical effect of sequential therapy of umbilical vein catheterization(UVC)and peripherally inserted central catheter catheterization(PICC)in preterm low-birth-weight infants.Methods A total of 35 cases of preterm low-birth-weight infants were divided into control group(17 cases)and observation group(18 cases)according to coin tossing method.Before treatment,catheterization was performed in both groups to facilitate later feeding,liquid and drug administration.Children in the control group received UVC and peripheral venipuncture infusion,and children in the observation group received sequential therapy of UVC and PICC.The catheter-related indicators and recovery indicators were compared between the two groups.Results The success rate of central venous pressure(CVP)measurement 100.00% and tube retention time(14.99±3.21)d of the observation group were better than 76.47% and(8.24±2.31)d of the control group,and the difference was statistically significant(P<0.05).The success rate of catheterization,unplanned extubation and infection rate of the observation group were lower than those of the control group,but the difference was not statistically significant(P>0.05).The hospitalization time(27.64±5.64)d of the observation group was shorter than(34.28±5.07)d of the control group,and the difference was statistically significant(P<0.05).The body mass at discharge of the observation group was higher than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion Sequential therapy of UVC and PICC is an ideal catheterization scheme in the treatment of preterm low-birth-weight infants,which helps to reduce the incidence of complications,lay a good basis for the treatment,and ensure the health and safety of children to the greatest extent.It has significant clinical practical value,and is worthy of attention and wide application.

关 键 词：脐静脉置管 外周穿刺中心静脉置管 早产低出生体重儿 临床效果 

分 类 号：R722.6[医药卫生—儿科]