音乐干预在早产儿PICC置管困难时应用.docVIP

音乐干预在早产儿PICC置管困难时应用 　　doi：10.3969/j.issn.1007-614x.2014.21.92 　　摘 要 目的：观察音乐干预在早产儿PICC置管困难时的作用。方法：41例PICC置管困难的早产儿分为试验组和对照组，在置管困难时试验组给予音乐干预，对照组给予口服葡萄糖水或助手按摩，观察两组在接受穿刺时、置管困难时、接受干预（音乐或按摩）后心率及血氧饱和度及整个置管用时（不包含穿刺用时）。结果：两组在接受穿刺时、置管困难时均有不同程度的心率增快、血氧饱和度波动，差异无统计学意义（P0.05）。但接受不同干预后，两组心率变化、血氧饱和度波动出现差异，试验组音乐干预后心率（139.71±10.24）次/分，SPO2（95.34±4.42）%，置管用时（8.74±2.12）分钟；对照组按摩干预后心率（150.01±13.79）次/分，SPO2（91.77±3.97）%，置管用时（23.56±5.85）分钟，差异有统计学意义（P0.05）。结论：音乐干预在早产儿PICC置管困难时可以有效缓解患儿疼痛，缓解静脉痉挛，有利于置管操作的顺利进行，缩短操作时间，保证PICC送管成功及置管安全。 　　关键词 音乐干预 PICC 置管困难 早产儿 　　The application of music intervention in premature infant at PICC catheter difficult 　　Tang Lei，Zhao Lei，Shi Fuzhi，Yang Li，Liu Fang，Zhang Yaodong 　　NICU，the Childrens Hospital of Zhengzhou City，Henan 450053 　　Abstract Objective：To explore the effect of music intervention in premature infant at PICC catheter difficult.Methods：41 premature infants with PICC catheter difficult were divided into the experimental group and the control group.The experimental group were treated with music intervention，and the control group were treated with oral glucose water or massage.We observed two groups of children with heart rate，oxygen saturation and the whole device working（without the puncture time） at accepting the puncture，catheter difficulty，after accepting intervention（music or massage）.Results：There were different degrees of increased heart rate and blood oxygen saturation fluctuation of the two groups at accepting the puncture，catheter difficulty，but there was no significant difference（P0.05）.After receiving different intervention，there were differences between the two groups of children with heart rate，blood oxygen saturation fluctuation.In the experimental group，after the music intervention，heart rate was （139.71±10.24） beats/min；SPO2 was （95.34±4.42）%；tube feeding time was （8.74±2.12） minutes.In the control group，after the massage intervention，heart rate was （150.01±13.79） times；SPO2 was （91.77±3.97）%；tube feeding time was （23.56±5.85）