贺望花

[摘要] 目的 探讨PICC（外周中心静脉置管）在新生儿输液中的应用效果。 方法 将2015年3月～2017年11月我院新生儿科接诊的60例患儿纳入本研究，作为观察组。将2013年9月～2015年1月我院新生儿科接诊的60例患儿纳入本研究，作为对照组。对照组予常规外周静脉留置针输液，观察组予PICC输液。观察导管留置时间、穿刺成功率、并发症发生情况。 结果 观察组导管留置时间为（21.04±6.33）d，对照组为（3.14±1.47）d，观察组导管留置时间高于对照组（t=17.009，P<0.05）。观察组穿刺成功率为98.33%（59/60），对照组为91.67%（55/60）。两组穿刺成功率对比，差异无统计学意义（χ2=2.807，P=0.094，P>0.05）。观察组并发症发生率低于对照组（P<0.05）。 结论 PICC在新生儿输液中的应用效果较好，能够延长导管留置时间，降低并发症发生情况。

[关键词] PICC；新生儿；输液；留置时间；并发症

[中图分类号] R473.72 [文献标识码] B [文章编号] 1673-9701（2018）20-0076-03

Study on the application of peripheral intravenous central catheterization in neonatal infusion

HE Wanghua

Department of Neonatology， Xinyu Women and Childens Hospital in Jiangxi Province， Xinyu 338025， China

[Abstract] Objective To investigate the application effect of PICC（peripheral intravenous central catheterization） in neonatal infusion. Methods 60 children patients who were admitted to the department of neonatology in our hospital from March 2015 to November 2017 were included in this study as the observation groups. From September 2013 to January 2015， 60 patients admitted to the department of neonatology in our hospital were included in the study as the control group. The control group was given routine peripheral intravenous infusion with indwelling needles. The observation group was given PICC infusion. The catheter indwelling time， puncture success rate， and complications were observed. Results The catheter indwelling time was（21.04±6.33）d in the observation group， and was（3.14±1.47）d in the control group. The catheter indwelling time in the observation group was higher than that in the control group（t=17.009， P<0.05）. The success rate of puncture was 98.33%（59/60）in the observation group， and was 91.67%（55/60） in the control group. There was no statistically significant difference in the puncture success rate between the two groups（χ2=2.807， P=0.094， P>0.05）. The incidence rate of complications in the observation group was lower than that in the control group（P<0.05）. Conclusion The application effect of PICC in neonatal infusion is effective， which can prolong the catheter indwelling time and reduce complications.

[Key words] PICC； Neonates； Infusion； Indwelling time； Complications

新生儿患儿尤其是早产儿、低体质量儿等，因为其本身疾病的影响，加上胃肠功能不成熟，消化吸收功能较弱，难以获得足够的营养供应，需要建立长期静脉營养供应以满足生理需求[1-2]。因此，建立静脉通道，做好输液工作，是提高新生儿患儿生活质量的有利措施。外周中心静脉置管（peripherally inserted central catheter，PICC）指的是经外周静脉穿刺把导管末端置于上下腔静脉的深静脉穿刺术。PICC能够为新生儿输液建立通畅、持久的静脉输液通道，保证新生儿完成静脉治疗，提高治疗效果[3-4]。PICC可以有效的减少静脉穿刺次数，减少不良反应发生风险，其优势明显，临床应用价值较高。我院开展了PICC在新生儿输液中的应用研究，现报道如下。

1 资料与方法

1.1 一般资料

将2015年3月～2017年11月我院新生儿科接诊的60例患儿纳入本研究，作为观察组，予PICC置管。将2013年9月～2015年1月我院新生儿科接诊的60例患儿纳入本研究，作为对照组，予常规外周静脉留置针输液。……