中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
8期
38-40
,共3页
姚光%刘九月%贾西燕%翟章伟
姚光%劉九月%賈西燕%翟章偉
요광%류구월%가서연%적장위
外周静脉置管%肝素%全合一静脉营养液%新生儿
外週靜脈置管%肝素%全閤一靜脈營養液%新生兒
외주정맥치관%간소%전합일정맥영양액%신생인
Peripherally inserted central catheter%Heparin%Total nutrient admixture%Newborn infants
目的 观察全合一静脉营养液中加入微量肝素持续输注对新生儿血流感染的预防作用,探讨减少新生儿血流感染的有效措施.方法 将濮阳市妇幼保健院新生儿重症监护病房2011年6月至2012年6月行外周静脉置留针并进行全合一静脉营养的120例新生儿分为两组:肝素组70例在全合一营养液中加入肝素0.5 U/kg,对照组50例不加用肝素,回顾性分析比较两组新生儿血流感染的发生情况.结果 肝素组发生导管阻塞8例(11.4％),新生儿血流感染10例(14.3％)；对照组发生导管阻塞15例(30.0％),新生儿血流感染20例(40.0％),两组比较差异均有统计学意义(P＜0.05).结论 静脉营养液中加入0.5 U/kg肝素可减少外周静脉留置针堵管及新生儿血流感染的发生.
目的 觀察全閤一靜脈營養液中加入微量肝素持續輸註對新生兒血流感染的預防作用,探討減少新生兒血流感染的有效措施.方法 將濮暘市婦幼保健院新生兒重癥鑑護病房2011年6月至2012年6月行外週靜脈置留針併進行全閤一靜脈營養的120例新生兒分為兩組:肝素組70例在全閤一營養液中加入肝素0.5 U/kg,對照組50例不加用肝素,迴顧性分析比較兩組新生兒血流感染的髮生情況.結果 肝素組髮生導管阻塞8例(11.4％),新生兒血流感染10例(14.3％)；對照組髮生導管阻塞15例(30.0％),新生兒血流感染20例(40.0％),兩組比較差異均有統計學意義(P＜0.05).結論 靜脈營養液中加入0.5 U/kg肝素可減少外週靜脈留置針堵管及新生兒血流感染的髮生.
목적 관찰전합일정맥영양액중가입미량간소지속수주대신생인혈류감염적예방작용,탐토감소신생인혈류감염적유효조시.방법 장복양시부유보건원신생인중증감호병방2011년6월지2012년6월행외주정맥치류침병진행전합일정맥영양적120례신생인분위량조:간소조70례재전합일영양액중가입간소0.5 U/kg,대조조50례불가용간소,회고성분석비교량조신생인혈류감염적발생정황.결과 간소조발생도관조새8례(11.4％),신생인혈류감염10례(14.3％)；대조조발생도관조새15례(30.0％),신생인혈류감염20례(40.0％),량조비교차이균유통계학의의(P＜0.05).결론 정맥영양액중가입0.5 U/kg간소가감소외주정맥류치침도관급신생인혈류감염적발생.
Objective To observe the effect of trace heparin added to parenteral nutrition on preventing neonatal bloodstream infection,and to investigate the effective measures to reduce neonatal bloodstream infection.Methods One hundred and twenty newborn infants with peripherally inserted central catheter were divided into heparin group(n =70)and control group (n =50).Infants in heparin group received TNA with 0.5 U/kg heparin.Infants in control group received TNA without heparin.The incidences of bloodstream infection in the two groups were retrospectively analyzed.Results The incidence of bloodstream infection was 14.3％ in heparin group and 40.0％ in control group.The incidence of catheter obstruction was 11.4％ in heparin group and 30.0％ in control group.There were significant differences (P ＜ 0.05).The incidences of BSIs and catheter obstruction were significantly lower in heparin group than those in control group (P ＜ 0.05).Conclusions TNA solutions with 0.5 U/kg heparin,could reduce the neonatal bloodstream infection and the blocking of peripherally inserted central catheter.
