中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
19期
74-74,75
,共2页
脐静脉置管%新生儿复苏%应用
臍靜脈置管%新生兒複囌%應用
제정맥치관%신생인복소%응용
Umbilical vein catheter%Newborn%Application
目的：探讨硬膜外麻醉导管行脐静脉置管在新生儿复苏中的应用效果。方法选取2008年1月至2010年12月在我院出生的、进行脐静脉窒息复苏的新生儿36例为对照组，2011年1月至2014年4月在我院出生的、进行脐静脉窒息复苏的新生儿36例为观察组。对照组采用传统的脐静脉注射法。观察组采用硬膜外麻醉导管行脐静脉置管。观察一次性置管成功率，注射顺畅度，药液外渗率，脱出情况等指标。结果观察组硬膜外麻醉导管行脐静脉置管一次成功率100%，对照组穿刺一次成功率为66.66%（24/36）。两组比较，观察组显著优于对照组，差异具有统计学意义（P＜0.05）。两组患儿并发症总发生率比较，观察组显著低于对照组，差异具有统计学意义（P＜0.05）。结论硬膜外麻醉导管行脐静脉置管在新生儿复苏中的应用疗效佳，穿刺一次成功率高，注药顺畅，药液外渗少，导管脱出率低，值得临床推广。
目的：探討硬膜外痳醉導管行臍靜脈置管在新生兒複囌中的應用效果。方法選取2008年1月至2010年12月在我院齣生的、進行臍靜脈窒息複囌的新生兒36例為對照組，2011年1月至2014年4月在我院齣生的、進行臍靜脈窒息複囌的新生兒36例為觀察組。對照組採用傳統的臍靜脈註射法。觀察組採用硬膜外痳醉導管行臍靜脈置管。觀察一次性置管成功率，註射順暢度，藥液外滲率，脫齣情況等指標。結果觀察組硬膜外痳醉導管行臍靜脈置管一次成功率100%，對照組穿刺一次成功率為66.66%（24/36）。兩組比較，觀察組顯著優于對照組，差異具有統計學意義（P＜0.05）。兩組患兒併髮癥總髮生率比較，觀察組顯著低于對照組，差異具有統計學意義（P＜0.05）。結論硬膜外痳醉導管行臍靜脈置管在新生兒複囌中的應用療效佳，穿刺一次成功率高，註藥順暢，藥液外滲少，導管脫齣率低，值得臨床推廣。
목적：탐토경막외마취도관행제정맥치관재신생인복소중적응용효과。방법선취2008년1월지2010년12월재아원출생적、진행제정맥질식복소적신생인36례위대조조，2011년1월지2014년4월재아원출생적、진행제정맥질식복소적신생인36례위관찰조。대조조채용전통적제정맥주사법。관찰조채용경막외마취도관행제정맥치관。관찰일차성치관성공솔，주사순창도，약액외삼솔，탈출정황등지표。결과관찰조경막외마취도관행제정맥치관일차성공솔100%，대조조천자일차성공솔위66.66%（24/36）。량조비교，관찰조현저우우대조조，차이구유통계학의의（P＜0.05）。량조환인병발증총발생솔비교，관찰조현저저우대조조，차이구유통계학의의（P＜0.05）。결론경막외마취도관행제정맥치관재신생인복소중적응용료효가，천자일차성공솔고，주약순창，약액외삼소，도관탈출솔저，치득림상추엄。
Objective To investigate the epidural catheter in umbilical vein catheter applied effect in neonatal resuscitation. Methods From 2008 January to 2010 December in our hospital were born, resuscitation of neonatal umbilical vein in 36 cases as control group, in 2011 January to 2014 April in our hospital was born, neonatal umbilical vein resuscitation of 36 cases for the observation group. The control group using the traditional method of umbilical vein injection. The observation group was treated with epidural anesthesia catheter for umbilical venous catheter. To observe the one-time success rate of catheterization, injection of smooth, physic liquor exosmosis rate, emergence and the index of. Results In the observation group, epidural anesthesia catheter in umbilical vein catheter a success rate of 100%in the control group, one time success rate of puncture was 66.66%(24/36). The comparison between the two groups, the observation group was significantly better than the control group, the difference was statistically significant (P<0.05). Two groups of children with the overall complication rate comparison, the observation group was significantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion Epidural anesthesia catheter in umbilical vein catheter applied effect in neonatal resuscitation is good, a high success rate of puncture, injection and smooth, physic liquor exosmosis, catheter extrusion rate is low, is worth the clinical promotion.
