NSRAS评分对PICC置管早产儿皮肤粘胶性损伤的预测价值  

The Predictive Value of NSRAS Score in Predicting Skin Adhesive Injury in Preterm Infants with PICC Catheterization

作　　者：陈小玲[1] 傅冬梅[1] 颜惠萍[1] 许翠雯 CHEN Xiaoling;FU Dongmei;YAN Huiping;XU Cuiwen(The Children's Hospital of Quanzhou City,Quanzhou 362000,China)

机构地区：[1]泉州市儿童医院,福建泉州362000

出　　处：《中外医学研究》2021年第22期182-185,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨新生儿皮肤风险评估量表(NSRAS)评分对经外周静脉置入中心静脉导管(PICC)置管早产儿皮肤粘胶性损伤的预测价值。方法:回顾性分析2019年1月-2020年1月笔者所在医院新生儿科接受的120例PICC置管早产儿的临床资料,根据NSRAS结果,将得分>13分的患儿纳入高风险组(54例),≤13分的患儿纳入低风险组(66例)。比较两组皮肤粘胶性损伤发生率及皮肤粘胶性损伤的类型,并提出相应的预防措施。结果:120例早产儿中有39例发生皮肤粘胶性损伤,发生率为32.50%。高风险组皮肤粘胶性损伤发生率为51.85%,明显高于低风险组的16.67%,差异有统计学意义(P<0.05)。在皮肤粘连性损伤类型中,机械性损伤占比最高,为66.67%。两组机械性损伤、潮湿相关性损伤、毛囊炎及接触性皮炎发生率比较,差异均无统计学意义(P>0.05)。结论:NSRAS评分对皮肤粘胶性损伤具有较好的风险评估价值,临床上对于接受PICC置管的早产儿应进行风险评估,并合理选择医用粘胶、掌握使用技巧、保证卫生等。Objective:To investigate the predictive value of neonatal skin risk assessment scale (NSRAS) score in predicting skin adhesive injury in premature infants with peripherally inserted central venous catheter (PICC) catheterization.Method:The clinical data of 120 premature infants with PICC catheterization received in the neonatology department of our hospital from January 2019 to January 2020 were retrospectively analyzed.According to the results of NSRAS,children with scores >13 points were included in the high-risk group (54 cases),and children with score ≤13 points were included in the low-risk group (66 cases).The incidence of skin adhesive injury and types of skin adhesive injury were compared between the two groups,and the corresponding preventive measures were proposed.Result:There were 39 cases of skin adhesive injury in 120 premature infants,the incidence rate was 32.50%.The incidence of skin adhesive injury in the high-risk group was 51.85%,which was significantly higher than 16.67% in low-risk group,and the difference was statistically significant (P<0.05).Among the types of skin adhesive injury,mechanical injury accounted for the highest proportion,accounting for 66.67%.There were no significant differences in the incidence of mechanical injury,moisture related injury,folliculitis and contact dermatitis between the two groups (P>0.05).Conclusion:NSRAS score has a good value for risk assessment of skin adhesive injury.Clinically,risk assessment should be conducted for premature infants with PICC catheterization,and reasonable selection of medical adhesive,master application skills,and ensure hygiene.

关 键 词：早产儿 经外周静脉置入中心静脉导管 皮肤粘胶性损伤 风险评估 预防措施 

分 类 号：R473.72[医药卫生—护理学]