摘要
目的探讨地塞米松溶液浸泡PICC导管对预防早产儿PICC置管后静脉炎的效果。方法将2009年10月-2010年10月PICU住院的低出生体重儿46例,分为对照组23例,干预组23例。对照组按传统的方法进行置管;干预组在置管前将NS 10 ml+地塞米松5 mg配制成的液体预冲在PICC导管的保护套膜内,浸泡PICC导管5 min左右后进行置管,观察两组静脉炎的发生率。结果对照组发生静脉炎10例,发生率43.5%;干预组发生静脉炎3例,发生率13.0%,两组比较差异有统计学意义(P<0.05)。结论早产儿PICC置管前用地塞米松溶液浸泡PICC导管,再进行PICC穿刺,可有效地预防PICC置管后静脉炎的发生。
Objective To investigate the effect of the dexamethasone soaking the PICC catheter on preventing mechanical phlebitis.Methods A total of 46 cases of very low birth weight infants between October 2009 and October 2010 were randomly divided into control group（23 cases） and treated group（23 cases）.The control group was given traditional treatment;based on routine treatment,the treated group was given catheterization after soaking the PICC catheter in the mixture liquid of the normal saline（10 ml） and dexamethasone（5 mg） for 5 minutes,then comparison was made in the incidence of phlebitis.Results In control group,the incidence of phlebitis was 43.5%（10/23）,while in the treated group 13.0%（3/23） with the difference being significant（P0.05）.Conclusion Premature babies were given PICC catheter puncture after dexamethasone soaking PICC catheter,which can effectively prevent mechanical phlebitis inducing.
出处
《中华全科医学》
2011年第6期986-987,共2页
Chinese Journal of General Practice
关键词
早产儿
PICC
地塞米松
静脉炎
Premature
PICC
Dexamethasone
Mechanical Phlebitis
