新生儿经不同部位置入PICC对比研究.docVIP

新生儿经不同部位置入PICC对比研究 　　【摘要】 目的：研究在新生儿的不同部位置入PICC的效果。方法：收集需要置入PICC导管的新生儿共92例，分为50例对照组和42例观察组，对照组患儿经肘部静脉置入PICC导管，观察组经头部颞浅静脉将PICC导管置入，将两组患儿一次性血管穿刺成功率、置管障碍率、静脉炎发生率进行观察和对比。结果：观察组患儿的一次性血管穿刺成功率明显高于对照组，观察组患儿的置管障碍率显著低于对照组患儿，观察组患儿的静脉炎发生率显著低于对照组患儿，观察组患儿的渗血量显著少于对照组，差异均有统计学意义（P0.05）。结论：在新生儿PICC导管的置入过程中，经头部颞浅静脉置入可有效提高一次性血管穿刺成功率，降低置管障碍率和静脉炎的发生率，且渗血量更低，有利于缓解患儿的痛苦，而且便于观察和固定，值得推广应用。 　　【关键词】 新生儿； PICC置管； 不同部位； 对比研究 　　中图分类号 R47 文献标识码 B 文章编号 1674-6805（2016）4-0092-02 　　A Comparative Study of PICC in Different Parts of Neonate/WU Hong-rong.//Chinese and Foreign Medical Research，2016，14（4）：92-93 　　【Abstract】 Objective：To study the effect of PICC in different parts of the neonate.Method：A total of 92 neonates with PICC catheter were collected，and divided into 50 cases in the control group and 42 cases in the observation group.The control group was implanted with PICC catheter from the basilica vein.The observation group was placed PICC catheter from the the head vein.The success rate of one-time puncture，the rate of catheterization，the incidence of phlebitis were observed and compared.Result：The observation group with disposable blood vessel one-time puncture success rate was significantly higher than that of the control group，the observation group with catheter disorder rate was significantly lower than that of the patients in the control group，the observation group with phlebitis incidence was significantly lower than that of the control group，the patients in the observation groups with bleeding was significantly less than the control group，the differences were all significant（P0.05）.Conclusion：In the neonatal PICC catheter placement process，the head vein insertion can effectively improve the disposable blood vessel puncture success rate，reduce catheter failure rates and phlebitis incidence and bleeding，to relieve the patient’s pain and easy to observe and fixed，it is worth popularization and application. 　　【Key words】 Newborn； PICC tube； Different parts； Comparative study 　　First-a