经脐静脉置管联合PICC置管对小于32w早产儿出院日期及体重的影响  

Effect of umbilical vein catheterization combined with PICC catheterization on discharge date and weight of preterm infants less than 32 weeks

作　　者：洪虹[1] 毛凤文 周小秋[2] 袁习春 HONG Hong;MAO Feng-wen;ZHOU Xiao-qiu(Department of Pediatrics,The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China;Department of Pediatrics,The People's Hospital of Suichuan,Ji'an 343900,China)

机构地区：[1]赣南医学院第一附属医院儿科,江西赣州341000 [2]吉安市遂川县人民医院儿科,江西吉安343900 [3]南雄市妇幼保健院儿科,广东韶关512000

出　　处：《吉林医学》2022年第12期3338-3341,共4页Jilin Medical Journal

基　　金：赣州市指导性科技计划项目[项目编号:GZ2019ZSF005]。

摘　　要：目的:探讨小于32 w早产儿置管过程中采取经脐静脉置管联合经外周中心静脉置管(PICC)的方法具体情况,并且评价该联合置管的实际应用价值。方法:抽选84例早产儿为研究对象,其中对照组42例早产儿采取常规单一PICC置管模式,研究组42例早产儿则在常规PICC置管的基础上采取经脐静脉置管的方法,经置管后,比较两组早产儿的体重增长情况、住院时间、并发症发生情况以及PICC置管具体情况。结果:研究组早产儿的住院时间和并发症发生率均明显低于对照组,组间差异有统计学意义(P<0.05)。研究组早产儿PICC置管以及体重恢复各项情况均明显优于对照组,组间差异有统计学意义(P<0.05)。结论:采取经脐静脉置管联合PICC置管的方法在小于32 w早产儿中进行应用,其早产儿的体重情况能够得到大幅度的提升,相比较常规单一的置管方案,该联合置管方案可明显降低早产儿住院时间以及并发症发生,有效优化了PICC置管穿刺成功率以及置管时间,故联合置管方法具有进一步推广应用于今后临床中的价值。Objective To explore the specific situation of umbilical vein catheterization combined with PICC catheterization in preterm infants less than 32 weeks,and to evaluate the practical value of the combined catheterization.Method 84 preterm infants were selected as the research object of this study;42 preterm infants in the control group adopted the conventional single PICC catheterization mode,while 42 preterm infants in the study group adopted the method of umbilical vein catheterization on the basis of conventional PICC catheterization;After catheterization,the weight growth,length of hospital stay and complications and PICC catheterization;Results The hospitalization time and complication rate of premature infants in the study group were significantly lower than those in the control group,and the difference between the groups was statistically significant(P<0.05);The PICC catheterization and weight recovery of premature infants in the study group were significantly better than those in the control group,with a statistically significant difference between the groups(P<0.05).Conclusion The combination of umbilical vein catheterization and PICC catheterization can significantly improve the weight of preterm infants less than 32 weeks;Compared with the conventional single catheterization scheme,the combined catheterization scheme can significantly reduce the hospitalization time and complications of preterm infants,and effectively optimize the success rate and retention time of PICC catheterization,Therefore,the combined catheterization method has the value of further popularization and application in clinical practice in the future.

关 键 词：脐静脉置管 经外周中心脉置管置管 体重 早产儿 住院时间 

分 类 号：R473.72[医药卫生—护理学]