改良的脐静脉置管在新生儿抢救中的应用  

Application of improved umbilical vein catheterization in neonatal rescue

作　　者：索绪缘 刘元 刘洋[1] 陈园 田甜 Suo Xuyuan;Liu Yuan;Liu Yang;Chen Yuan;Tian Tian(Department of Neonatology,Suizhou Maternal and Child Health Hospital,Suizhou,Hubei 441399,China)

机构地区：[1]湖北省随州市妇幼保健院,湖北随州441399

出　　处：《首都食品与医药》2024年第15期144-146,共3页Capital Food Medicine

基　　金：随州市卫生健康委科研项目(一般项目)。

摘　　要：目的探讨改良后的脐静脉置管在新生儿抢救中的应用效果.方法选择于2023年1月-6月在随州市妇幼保健院出生的新生儿,排除胶质脐带、存在脐带局部感染或脐带畸形,随机选出100例作为研究对象,在后期抢救新生儿时,采用直管留置针脐静脉置管给药,分别对新生儿的胎龄、体重、脐带的粗细进行研究,了解其中关系,观察不同资料新生儿的穿刺成功率.结果胎龄与新生儿体重呈现正相关关系,与脐带周长呈现负相关关系,体重与脐带周长呈现负相关关系.新生儿脐带长度与其容量呈现正相关关系,新生儿脐带周长与长度、容量相关性较弱.不同体重间新生儿的脐静脉置管一次性穿刺成功率无明显差异(P>0.05).不同脐带长度新生儿的脐静脉置管一次性穿刺成功率无明显差异(P>0.05).结论通过研究分析,发现改良脐静脉置管可适用于任意新生儿的抢救情况,排除脐静脉置管禁忌证后,在任意体重、脐带长度新生儿的抢救之中均能够保持较高的穿刺成功率,具有临床实践价值.Objective To explore the application effect of improved umbilical vein catheterization in neonatal rescue.Methods Selecting newborns born in our hospital from January to June 2023,excluding glial umbilical cord,local umbilical cord infection,or umbilical cord malformation,100 cases were randomly selected as the study subjects.In the later rescue of newborns,direct tube indwelling needle was used to place medication in the umbilical vein,and the gestational age,weight,and thickness of the umbilical cord of Baobao were studied to understand their relationship and observe the success rate of puncture in children with different data.Results There is a positive correlation between gestational age and newborn weight,a negative correlation with umbilical cord circumference,and a negative correlation between weight and umbilical cord circumference.There is a positive correlation between the length and capacity of the umbilical cord in children,while the correlation between the circumference,length,and capacity of the umbilical cord in children is relatively weak.There was no significant difference in the success rate of one-time puncture of umbilical vein catheterization among children with different body weights(P>0.05).There was no significant difference in the success rate of one-time puncture of umbilical vein catheterization in children with different umbilical cord lengths(P>0.05).Conclusion Through the analysis of this study,it can be found that improved umbilical vein catheterization is suitable for the rescue of any newborn.After excluding contraindications to umbilical vein catheterization,it can maintain a high success rate of puncture in the rescue of children of any weight and umbilical cord length,and has clinical practical value.

关 键 词：改良的脐静脉置管 新生儿抢救 并发症 穿刺成功率 

分 类 号：R473.72[医药卫生—护理学]