picc在新生儿重症监护室中的应用及对应护理措施分析.docVIP

精品论文 参考文献 PICC在新生儿重症监护室中的应用及对应护理措施分析 (商丘市第一人民医院新生儿重症监护室1NICU1 河南商丘 476100) [摘要] 目的:分析PICC在新生儿重症监护室中的应用及对应护理措施。方法:选择2013年4月至2015年4月我院重症监护室收治的患儿106例，将其随机分为两组，各53例。所有患儿均给予PICC置管（经外周置入中心静脉导管），对照组置管期间实施常规护理，观察组实施综合性护理，对比两组患者置管情况及并发症发生情况。结果:观察组置管成功率明显高于对照组，并发症发生率明显低于对照组，差异显著（P＜0.05）。结论:在新生儿重症监护室中应用PICC置管能够为患儿的急救提供有利条件，同时置管期间配合综合性护理对改善置管情况、预防并发症中具有积极作用。 [关键词] 外周置入中心静脉导管；新生儿重症监护室；护理措施 Application of PICC in the neonatal intensive care unit and analyses the corresponding nursing measures Should XiaoRui (shangqiu first peoples hospital neonatal intensive care unit 1 nicu1 henan shangqiu, 476100) [abstract] objective: to analysis of PICC application in neonatal intensive care unit and corresponding nursing measures. Methods: choose between April 2013 and April 2013 our hospital of children 106 cases admitted in the intensive care unit, will be randomly divided into two groups, the 53 cases. All children are given PICC catheter (via peripheral central venous catheter placement), control group catheter during the implementation of routine nursing, implement comprehensive nursing observation group, compared two groups of patients with catheter and complications. Results: the success rate of catheter observation group was obviously higher than that of control group, the complication rates significantly lower than the control group, significant difference (P lt; 0.05). Conclusion: the application of PICC catheter in the neonatal intensive care unit to provide favorable conditions for children with emergency, at the same time during catheter with comprehensive care to improve catheter situation, has a positive role in preventing complications. [key words] peripheral central venous catheter placement; Neonatal intensive care unit. Nursing measures 重症监护室患儿往往因病情严重，需长时间输注药物，由于早产儿、低体重儿等新生儿的血管十分细薄，且较为隐蔽，增加了静脉穿刺的难度[1]。PICC置管是经患儿外周静脉行穿刺插入中心静脉导管，并准确定位的一种深静脉导管置入术，具有操作简单、创伤小、置管时间长等优势[2]。本研究即深入探讨PICC置管的应用与护理措施，旨在进一步改善其应用效果、预防并发症。现报道示下。 1