静脉输液新生儿外渗发生情况调查及其相关影响因素分析  

Investigation on Occurrence of Extravasation in Newborns with Intravenous Infusion and Analysis of Its Related Influencing Factors

作　　者：袁红连 熊芬 刘颖[1] YUAN Honglian;XIONG Fen;LIU Ying(The First Hospital of Nanchang,Nanchang 330000,China;不详)

机构地区：[1]南昌市第一医院,江西南昌330000

出　　处：《中国医学创新》2022年第20期77-80,共4页Medical Innovation of China

摘　　要：目的:探讨静脉输液新生儿外渗发生情况及其相关影响因素。方法:以整群抽样法选择2020年7月-2021年6月在南昌市第一医院行静脉输液的364例新生儿为研究对象。收集资料,分析静脉输液新生儿外渗发生情况及其相关影响因素。结果:静脉输液新生儿外渗发生率为14.84%(54/364)。单因素分析显示,发生外渗组早产、血管弹性差、输注刺激性药物、穿刺护士工作年限<5年比例均高于未发生外渗组,差异均有统计学意义(P<0.05);两组出生日龄、性别、出生体重、置管部位比较,差异均无统计学意义(P>0.05)。多因素分析显示,早产[OR=2.667,95%CI(1.267,5.611)]、血管弹性差[OR=4.470,95%CI(2.360,8.466)]、输注刺激性药物[OR=3.906,95%CI(2.137,7.140)]、穿刺护士工作年限<5年[OR=3.342,95%CI(1.845,6.056)]均是静脉输液新生儿外渗发生的高危因素(P<0.05)。结论:静脉输液新生儿外渗发生率较高,其发生与早产、血管弹性、输注药物、穿刺护士工作年限均有关。Objective:To explore the occurrence of extravasation in newborns with intravenous infusion and its related influencing factors.Method:A cluster sampling method was used to select 364 newborns who underwent intravenous infusion in the First Hospital of Nanchang from July 2020 to June 2021 as the research objects.The data were collected,the occurrence of intravenous infusion neonatal extravasation and related influencing factors were analyzed.Result:The incidence of extravasation in newborns with intravenous infusion was 14.84%(54/364).Univariate analysis showed that:premature delivery,poor vascular elasticity,infusion of stimulating drugs,and puncture nurses with less than 5 years of work in the extravasation group were higher than those in the no extravasation group,and the differences were statistically significant(P<0.05);there were no statistically significant differences in age,gender,birth weight and tube placement between two groups(P>0.05).Multivariate analysis showed:premature delivery[OR=2.667,95%CI(1.267,5.611)],poor vascular elasticity[OR=4.470,95%CI(2.360,8.466)],infusion of stimulating drugs[OR=3.906,95%CI(2.137,7.140)],working life of puncture nurse<5 years[OR=3.342,95%CI(1.845,6.056)]were high risk factors for neonatal extravasation caused by intravenous infusion(P<0.05).Conclusion:The incidence of extravasation in newborn with intravenous infusion is relatively high,and its occurrence is related to premature delivery,vascular elasticity,drug infusion and the working years of puncture nurse.

关 键 词：新生儿 静脉输液 外渗 早产 血管弹性 

分 类 号：R473.72[医药卫生—护理学]