轮状病毒性肠炎患儿静脉输液时发生液体外渗的相关危险因素分析  

Analysis of Risk Factors Related to Fluid Extravasation during Intravenous Infusion in Children with Rotavirus Enteritis

作　　者：龚琦玮 单建霞 GONG Qiwei;SHAN Jianxia(Women and Children's Hospital Affiliated to Xiamen University,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院),福建厦门361000

出　　处：《中外医学研究》2023年第23期108-111,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探析轮状病毒性肠炎患儿静脉输液时发生液体外渗的相关危险因素。方法:前瞻性选取2020年1月-2022年1月厦门大学附属妇女儿童医院收治的82例轮状病毒性肠炎患儿,所有患儿均接受静脉输液治疗,记录轮状病毒性肠炎患儿静脉输液时液体外渗发生情况,统计并比较患儿相关资料差异,将有统计学意义的变量纳入logistic回归模型,分析轮状病毒性肠炎患儿静脉输液时发生液体外渗的危险因素。结果:经评估,82例接受静脉输液治疗的轮状病毒性肠炎患儿中发生液体外渗12例,发生率为14.63%。发生组早产儿、血管弹性差、穿刺护士工作年限<3年、置管部位为肢体占比高于未发生组,差异有统计学意义(P<0.05)。构建logistic回归模型,结果显示,早产儿、血管弹性差、穿刺护士工作年限<3年、置管部位为肢体是轮状病毒性肠炎患儿静脉输液发生液体外渗的危险因素(OR>1,P<0.05)。结论:早产儿、血管弹性差、穿刺护士工作年限<3年、置管部位为肢体是轮状病毒性肠炎患儿静脉输液发生液体外渗的危险因素。Objective:To explore the related risk factors of fluid extravasation during intravenous infusion in children with rotavirus enteritis.Method:Prospective selected 82 children with rotavirus enteritis admitted to the Women and Children's Hospital Affiliated to Xiamen University from January 2020 to January 2022.All children received intravenous infusion treatment,recorded the occurrence of fluid extravasation during intravenous infusion of children with rotavirus enteritis,counted and compared the differences in children's relevant data,and included statistically significant variables into the logistic regression model,analyzed the risk factors for fluid extravasation during intravenous infusion in children with rotavirus enteritis.Result:After evaluation,out of 82 children with rotavirus enteritis who received intravenous infusion treatment,a total of 12 cases experienced fluid extravasation,the incidence rate was 14.63%.The proportion of premature infants,poor vascular elasticity,working years of puncture nurses<3 years,and the placement of catheters in limbs in the occurrence group were higher than those in non occurrence group,the differences were statistically significant(P<0.05).A logistic multiple regression model was constructed,and the results showed that premature infants,poor vascular elasticity,working years of puncture nurses<3 years,and the placement of catheters in limbs were risk factors for fluid extravasation during intravenous infusion in children with rotavirus enteritis(OR>1,P<0.05).Conclusion:Premature infants,poor vascular elasticity,working years of puncture nurses<3 years,and the placement of catheters in limbs are the risk factors for fluid extravasation in children with rotavirus enteritis.

关 键 词：轮状病毒性肠炎 静脉输液 液体外渗 血管弹性 穿刺护士工作年限 

分 类 号：R473.72[医药卫生—护理学]