新生儿脐静脉置管脐旁缠绕固定法效果观察  

Effect of paraumbilical winding fixation of umbilical venous catheter in newborns

作　　者：郭舒文 张舒云 林娟斌 张秀虹 戴冬凰 Guo Shuwen;Zhang Shuyun;Lin Juanbin;Zhang Xiuhong;Dai Donghuang(NICU,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院NICU,福建漳州363000

出　　处：《护理学杂志》2024年第4期57-59,共3页Journal of Nursing Science

摘　　要：目的探讨新生儿脐静脉置管脐旁缠绕固定法的可行性。方法采用前瞻性类实验研究设计,将145例拟接受脐静脉置管新生儿按住院时间顺序分为两组,脐静脉置管成功后对照组(n=67)常规采用密闭式脐周缠绕固定法,干预组(n=78)采用脐旁缠绕固定法。比较两组患儿导管的总留置时间、更换贴膜的次数、导管移位率及脐部并发症发生率等情况。结果干预组导管留置时间显著长于对照组,更换贴膜次数显著少于对照组,脐部并发症(渗血、脐部皮肤感染)发生率显著低于对照组(均P<0.05);两组导管移位、导管相关性感染发生率比较,差异无统计学意义(均P>0.05)。结论新生儿脐静脉置管采用脐旁缠绕固定法,能有效减少更换贴膜次数及并发症发生率,有效保证留置时间。Objective To investigate the feasibility of paraumbilical winding fixation of umbilical venous catheter in newborns.Methods In the prospective quasi-experimental design,145 newborns who were to receive umbilical vein catheterization were divided into 2 groups in order of hospitalization.After successful umbilical vein catheterization,the control group(n=67)was subjected to routine closed periumbilical winding fixation of umbilical venous catheter,while the intervention group(n=78)was subjected to paraumbilical winding fixation.The total catheter retention time,the counts of film replacement,the incidence rate of catheter displacement and umbilical complications were compared between the two groups.Results The total catheter retention time in the intervention group were significantly longer than in the controls;the counts of film replacement were fewer,the incidence rate of catheter displacement and umbilical complications in the former than those in the latter(all P<0.05).Conclusion Paraumbilical winding fixation of umbilical venous catheter in newborns can effectively reduce the frequency of film replacement and the incidence rate of complication,and effectively extend catheter retention time.

关 键 词：新生儿 脐静脉置管术 导管固定 缠绕固定 脐周缠绕 脐旁缠绕 脐部并发症 儿科护理 

分 类 号：R473.72[医药卫生—护理学]