基于带量采购下外周静脉留置针在新生儿不同留置部位的效果观察  

作　　者：张李霞[1] 姜琳[1] 单佩 肖艳华[1] 王婷婷 李昉[1] 

机构地区：[1]东南大学附属中大医院,江苏南京210009

出　　处：《人人健康》2022年第13期105-107,共3页Health for Everyone

摘　　要：目的:观察带量采购下外周静脉留置针在新生儿不同留置部位的效果。方法:抽取2019年12月至2020年5月在某三甲医院住院新生儿使用带量采购下外周静脉留置针患儿为研究对象,观察并分析不同留置部位的留置时间以及并发症的发生率。结果:共纳入带量采购下外周静脉留置针415例次,其中前臂静脉留置针87例次,手背静脉留置针174例次,桡静脉留置针25例次,腋静脉留置针36例次,大隐静脉留置针82例次,头部静脉留置针8例次,窝静脉留置针3例次,其中腋静脉及大隐静脉留置针的留置时间较其它部位留置时间,差异有统计学意义(均P<0.05)。而不同留置部位静脉留置针主要并发症为静脉炎及渗血渗液,其中腋静脉及桡静脉留置针静脉炎发生率分别为44.4%及64%,较前臂静脉留置针静脉炎的发生率,差异有统计学意义(均P<0.05);而不同部位静脉留置针渗血渗液的发生率,差异无统计学意义(均P>0.05)。结论:带量采购下外周静脉留置针在新生儿不同部位的留置时间,腋静脉和大隐静脉的留置时间长,而腋静脉及桡静脉静脉炎发生率低,总体而言,腋静脉外周静脉留置针安全有效性高,是新生儿理想的留置部位,值得在临床上优先推广使用。Objective:To observe the effect of lower peripheral venous indwelling needle in different indwelling sites of neonates.Methods:From December 2019 to May 2020, neonates hospitalized in a third class A hospital were selected as the research objects, and the indwelling time of different indwelling sites and the incidence of complications were observed and analyzed. Results:A total of 415cases of peripheral vein indwelling were included, including 87 cases of forearm vein indwelling, 174 cases of dorsal hand vein indwelling,25 cases of radial vein indwelling, 36 cases of axillary vein indwelling, 82 cases of great saphenous vein indwelling, 8 cases of head vein indwelling, and 3 cases of popliteal vein indwelling. The indwelling time of axillary vein and great saphenous vein was significantly different from that of other parts(ALL P < 0.05). The main complications of intravenous indwelling needles at different indwelling sites were phlebitis and bleeding and exudation. The incidence of intravenous indwelling needles in axillary vein and radial vein was 44.4%and 64%, respectively, and the difference was statistically significant compared with the incidence of intravenous indwelling needles in forearm(P < 0.05). There was no significant difference in the incidence of blood and fluid seepage in different parts of venous indwelling needle(ALL P > 0.05). Conclusion:With quantity purchase of peripheral venous indwelling needle in neonatal indwelling time, from different parts of the axillary vein and great saphenous vein indwelling time is long, and axillary vein and radial vein phlebitis incidence is low, in general, axillary vein peripheral venous indwelling needle of high effectiveness, is the ideal of neonatal lien, is worth popularizing in clinic is preferred to use.

关 键 词：外周静脉留置针 留置部位 并发症 新生儿 

分 类 号：R47[医药卫生—护理学]