摘要
目的 探讨下肢静脉在重症新生儿PICC中的应用优势.方法 将2012年1～12月在新生儿科住院的165例重症新生儿随机分配为PICC上肢静脉组（首选贵要静脉,其次是肘正中静脉、头静脉）73例和PICC下肢静脉组（首选大隐静脉,其次是腘静脉）92例,通过对比置管一次成功率及置管后的并发症如尖端异位、导管堵塞、静脉炎等明确上下肢静脉置管的优劣性.结果 下肢静脉组的置管一次成功数量明显大于上肢静脉组,且下肢静脉组导管尖端易异位也比上肢静脉组少.而在并发症方面：静脉炎、导管堵塞、导管断裂、敷贴过敏等隋况2组比较差异无统计学意义.结论 下肢静脉PICC穿刺较传统的上肢静脉PICC穿刺更有临床应用优势.
Objective To investigate the advantage of detaining peripherally inserted central catheter through the veins of lower extremity in neonatal intensive care unit.Methods 165 cases of infants were randomized into veins of lower extremity group （first saphenous veins,then popliteal vein） and veins of upper extremity group （first basilic vein,then median cubital vein,cephalic veins） from January to December 2012.We observed the success rate of detaining,catheter tip location,and complications such as phlebitis in the two groups.Results The success rate of detaining of lower extremity group was higher than that of upper extremity group,and ectopic rate of lower extremity group was lower than that of upper extremity group.There was no significant difference in complications such as phlebitis between two groups.Conclusions Peripherally inserted central catheter through the veins of lower extremity has more advantage over through the veins of upper extremity group.
出处
《中国实用护理杂志》
北大核心
2014年第7期51-52,共2页
Chinese Journal of Practical Nursing
关键词
下肢静脉
新生儿
可行性
PICC
Peripherally inserted central catheter
Veins of lower extremity
Neonates
Feasibility
