中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
24期
63-66
,共4页
极低出生体重儿%PICC置管%体表测量长度%理想置管深度
極低齣生體重兒%PICC置管%體錶測量長度%理想置管深度
겁저출생체중인%PICC치관%체표측량장도%이상치관심도
Very low birth weight infant%PICC catheter%Surface measuring length%Ideal catheter depth
目的：分析极低出生体重儿(VLBWI)行PICC置管时患儿体表测量长度(LBSM)和理想置管深度(IDTD)的关系。方法选择2012年5月~2014年1月于徐州市儿童医院新生儿重症监护室上肢植入PICC的40例贵要静脉置管及24例头静脉和肘正中静脉PICC置管的VLBWI患儿。分析对行PICC置管时LBSM和IDTD的关系。结果40例贵要静脉置管结果表明，获得理想深度的比例最高，为67.50豫；置入过深次之，置入过浅的比例最低，仅为12.50豫。 Pearson相关性分析显示，除左侧头静脉的LBSM与IDTD无相关性之外(r =0.397，P=0.512)，其余各处静脉均有相关性。经回归分析，LBSM与IDTD的回归方程如下：右侧的贵要静脉：Y =-6.23±1.01X；右侧的头静脉：Y =-14.36±1.15X；右侧的肘正中静脉：Y =4.12±0.82X；左侧的贵要静脉：Y =2.86±0.84X；左侧的肘正中静脉：Y =-19.52±1.23X。结论在VLBWI右侧的贵要静脉进行置管时LBSM与IDTD的具有较好的相关性，临床治疗时应予以重视。
目的：分析極低齣生體重兒(VLBWI)行PICC置管時患兒體錶測量長度(LBSM)和理想置管深度(IDTD)的關繫。方法選擇2012年5月~2014年1月于徐州市兒童醫院新生兒重癥鑑護室上肢植入PICC的40例貴要靜脈置管及24例頭靜脈和肘正中靜脈PICC置管的VLBWI患兒。分析對行PICC置管時LBSM和IDTD的關繫。結果40例貴要靜脈置管結果錶明，穫得理想深度的比例最高，為67.50豫；置入過深次之，置入過淺的比例最低，僅為12.50豫。 Pearson相關性分析顯示，除左側頭靜脈的LBSM與IDTD無相關性之外(r =0.397，P=0.512)，其餘各處靜脈均有相關性。經迴歸分析，LBSM與IDTD的迴歸方程如下：右側的貴要靜脈：Y =-6.23±1.01X；右側的頭靜脈：Y =-14.36±1.15X；右側的肘正中靜脈：Y =4.12±0.82X；左側的貴要靜脈：Y =2.86±0.84X；左側的肘正中靜脈：Y =-19.52±1.23X。結論在VLBWI右側的貴要靜脈進行置管時LBSM與IDTD的具有較好的相關性，臨床治療時應予以重視。
목적：분석겁저출생체중인(VLBWI)행PICC치관시환인체표측량장도(LBSM)화이상치관심도(IDTD)적관계。방법선택2012년5월~2014년1월우서주시인동의원신생인중증감호실상지식입PICC적40례귀요정맥치관급24례두정맥화주정중정맥PICC치관적VLBWI환인。분석대행PICC치관시LBSM화IDTD적관계。결과40례귀요정맥치관결과표명，획득이상심도적비례최고，위67.50예；치입과심차지，치입과천적비례최저，부위12.50예。 Pearson상관성분석현시，제좌측두정맥적LBSM여IDTD무상관성지외(r =0.397，P=0.512)，기여각처정맥균유상관성。경회귀분석，LBSM여IDTD적회귀방정여하：우측적귀요정맥：Y =-6.23±1.01X；우측적두정맥：Y =-14.36±1.15X；우측적주정중정맥：Y =4.12±0.82X；좌측적귀요정맥：Y =2.86±0.84X；좌측적주정중정맥：Y =-19.52±1.23X。결론재VLBWI우측적귀요정맥진행치관시LBSM여IDTD적구유교호적상관성，림상치료시응여이중시。
Objective To study the relationship of length of body surface (LBSM ) measurement and ideal depth of tube detaining (IDTD) in very low birth weight infant (VLBWI) with PICC. Methods From May 2012 to January 2014, in NICU of the Children's Hospital of Xuzhou City, 40 VLBWI with upper PICC and 24 VLBWI with cephalic vein and cubital vein PICC were selected. The relationship of LBSM and IDTD at PICC was analyzed. Results The results of 40 VLBWI with upper PICC showed that the highest was IDTD acquired, for 67.50%, the next was followed placed too deep, the lowest was too shallow into the lowest percentage, only 12.50%. The result of Pearson correlation analysis showed except the left cephalic vein of LBSM had no correlation with IDTD (r=0.397, P=0.512), the rest were corre-lated throughout the vein. By regression analysis, LBSM and IDTD regression equation was as follows, the right side of the vein:Y =-6.23±1.01X;the right of the cephalic vein:Y =-14.36±1.15X;the right of the median cubital vein;Y =4.12±0.82X; the left side of your vein; Y = 2.86±0.84X; the left of the cubital vein: Y = -19.52±1.23X. Conclusion When the right side of VLBWI vein catheterization to have a good correlation with IDTD LBSM, the clinical treatment should be valued.
