CAJ | 학술논문

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(P＞0.05)。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(P＜0.05)。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。
목적：관찰음악간예재조산인PICC치관곤난시적작용。방법：41례PICC치관곤난적조산인분위시험조화대조조，재치관곤난시시험조급여음악간예，대조조급여구복포도당수혹조수안마，관찰량조재접수천자시、치관곤난시、접수간예(음악혹안마)후심솔급혈양포화도급정개치관용시(불포함천자용시)。결과：량조재접수천자시、치관곤난시균유불동정도적심솔증쾌、혈양포화도파동，차이무통계학의의(P＞0.05)。단접수불동간예후，량조심솔변화、혈양포화도파동출현차이，시험조음악간예후심솔(139.71±10.24)차/분，SPO2(95.34±4.42)%，치관용시(8.74±2.12)분종；대조조안마간예후심솔(150.01±13.79)차/분，SPO2(91.77±3.97)%，치관용시(23.56±5.85)분종，차이유통계학의의(P＜0.05)。결론：음악간예재조산인PICC치관곤난시가이유효완해환인동통，완해정맥경련，유리우치관조작적순리진행，축단조작시간，보증PICC송관성공급치관안전。
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(P>0.05).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) minutes.The differences were statistically significant(P<0.05).Conclusion:Music intervention in premature infant at PICC catheter difficult can effectively alleviate the pain in children,and relieve spasm of vein.It is conducive to the catheterization operation smoothly.It can shorten the operation time,and ensure the PICC pipe and tube safety.