经脐静脉置管在早产儿住院初期救治中的应用效果  

Application Effect of Umbilical Vein Catheterization in the Early Treatment of Premature Infants in Hospital

作　　者：肖玉 XIAO Yu(Department of Neonatology,Zhejiang Provincial People's Hospital Bijie Hospital,Bijie 551700,Guizhou,China)

机构地区：[1]浙江省人民医院毕节医院新生儿科,贵州毕节551700

出　　处：《世界复合医学(中英文)》2024年第12期97-100,共4页World Journal of Complex Medicine

基　　金：毕节市科学技术计划项目(毕科联合字SY[2022]4号)。

摘　　要：目的探讨经脐静脉置管在早产儿住院初期救治中的应用效果。方法选取2021年10月1—31日浙江省人民医院毕节医院收治的37例早产儿为研究对象,按照不同的治疗方法分为治疗组(n=18,采取脐静脉置管术)与对照组(n=19,采取外周静脉置管术)。对比两组置管情况、治疗情况、并发症发生率。结果治疗组一次置管成功率为94.44%(17/18),高于对照组的68.42%(13/19),差异有统计学意义(χ^(2)=4.081,P<0.05)。治疗组置管平均所用时间短于对照组,差异有统计学意义(P<0.05)。治疗组体重增长、住院时间、静脉高营养使用天数均优于对照组,差异均有统计学意义(P均<0.05)。两组非计划拔管率、并发症发生率比较,差异均无统计学意义(P均>0.05)。结论早产儿采取经脐静脉置管术能够减少非计划拔管率与住院时间,提高体重增长速率。Objective To explore the application effect of umbilical vein catheterization in the early treat-ment of premature infants.Methods A total of 37 premature infants admitted to Zhejiang Provincial People's Hospital Bijie Hospital from October 1 to 312021were selected as the research objects.According to different treatment methods,they were divided into treatment group(n=18,umbilical vein catheterization)and control group(n=19,peripheral vein catheterization).The catheterization,treatment and incidence of complications were compared between the two groups.Results The success rate of one-time catheterization in the treatment group was 94.44%(17/18),which was higher than 68.42%(13/19)in the control group,and the difference was statistically significant(χ^(2)=4.081,P<0.05).The average time of catheterization in the treatment group was shorter than that in the control group,the difference was statistically significant(P<0.05).The weight gain,hos-pitalization time and days of intravenous high nutrition use in the treatment group were better than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in unplanned extubation rate and complication rate between the two groups(both P>0.05).Conclusion Umbili-cal vein catheterization can reduce unplanned extubation rate and hospitalization time,and increase weight gain rate.

关 键 词：早产儿 脐静脉置管 救治效果 外周静脉置管 

分 类 号：R722.6[医药卫生—儿科]