CAJ | 학술논문

目的探讨采用腋下静脉留置输入法在降低多巴胺对新生儿血管皮肤损害的临床效果,确保医疗安全.方法选择新生儿科需应用多巴胺治疗的新生儿100例,按人院单双月分为观察组和对照组,各50例.观察组的新生儿采用腋下静脉输入法,对照组的新生儿采用肢端静脉输入法,观察比较两种输入法治疗过程(3～5 d)中穿刺部位刺激性损害发生率、穿刺1次完成治疗过程例数和穿刺2次以上完成例数及穿刺成功后留置保留次均时间长短.结果观察组患儿在穿刺部位周围血管皮肤刺激性损害发生率(10.00％)明显低于对照组(42.00％),治疗过程中穿刺1次完成例数(39例)明显多于对照组(26例),穿刺2次以上完成例数(11例)明显少于对照组(24例)；留置保留次均时间[(73.22±30.461)h]明显长于对照组[(59.01±25.972)h]；两组比较差异均有统计学意义(P＜0.01).结论新生儿应用多巴胺治疗时采用腋下静脉留置输入法,能降低多巴胺药物对血管壁的刺激引起皮肤损伤的效果明显,有效保留时间延长,确保抢救治疗用药的持续性、及时性、安全性,在临床上有其实用意义.
목적 탐토채용액하정맥류치수입법재강저다파알대신생인혈관피부손해적림상효과,학보의료안전.방법 선택신생인과수응용다파알치료적신생인100례,안인원단쌍월분위관찰조화대조조,각50례.관찰조적신생인채용액하정맥수입법,대조조적신생인채용지단정맥수입법,관찰비교량충수입법치료과정(3～5 d)중천자부위자격성손해발생솔、천자1차완성치료과정례수화천자2차이상완성례수급천자성공후류치보류차균시간장단.결과 관찰조환인재천자부위주위혈관피부자격성손해발생솔(10.00％)명현저우대조조(42.00％),치료과정중천자1차완성례수(39례)명현다우대조조(26례),천자2차이상완성례수(11례)명현소우대조조(24례)；류치보류차균시간[(73.22±30.461)h]명현장우대조조[(59.01±25.972)h]；량조비교차이균유통계학의의(P＜0.01).결론 신생인응용다파알치료시채용액하정맥류치수입법,능강저다파알약물대혈관벽적자격인기피부손상적효과명현,유효보류시간연장,학보창구치료용약적지속성、급시성、안전성,재림상상유기실용의의.
Objective To explore the efficacy of intravenous injection through axillary vein for reducing newborn' s blood and skin injuries and ensure medical safety.Methods 100 neonates having to be treated with dopamine were selected from the department of pediatrics and then were divided into an observation group and a control group according to the odd or even month of being hospitalized,50 for each group.The observation group were injected through axillary vein,and the control group through acral vein.The incidences of irritant lesion of the injected area,how many cases were injected successfully by 1 or 2 times,and mean retention time of both groups were observed and compared.Results The incidence of irritant lesion of the injected area was markedly lower in the observation group than in the control group (10％ vs.42％,).39 cases were injected successfully by 1 time,and 11 cases by 2 times in the observation group,while 26 cases by 1 time and 24 cases by 2 times in the control group.The mean retention time was (73.22 ± 30.461) h in the observation group and was (59.01 ± 25.972) h in the control group,with statistical differences(P ＜ 0.01).Conclusions Intravenous injection through axillary vein for reducing newborn's blood and skin injuries is effective,can prolong the retention time and make sure that drug use is continuous,in time,and safe,and is clinically meaningful.