CAJ | 학술논문

目的：探讨新生儿非头皮静脉输液的可行性。方法：将实施静脉输液的80例患儿，按患儿入院时间随机分为观察组和对照组各40例，观察组在住院期间实施非头皮静脉输液，而对照组实施常规静脉输液。结果：比较2组损伤（包括外渗、皮下血肿、头皮刮伤等）率及部位，观察组损伤率5．3％，其中头部占12．5％，对照组损伤率16．6％，其中头部占41．3％。2组在损伤率及部位等方面的比较均有统计学差异（P＜0．05）。结论：废弃新生儿头皮静脉输液是可行的，对减少损伤尤其是头皮损伤及造成的影响有良好效果。
목적：탐토신생인비두피정맥수액적가행성。방법：장실시정맥수액적80례환인，안환인입원시간수궤분위관찰조화대조조각40례，관찰조재주원기간실시비두피정맥수액，이대조조실시상규정맥수액。결과：비교2조손상（포괄외삼、피하혈종、두피괄상등）솔급부위，관찰조손상솔5．3％，기중두부점12．5％，대조조손상솔16．6％，기중두부점41．3％。2조재손상솔급부위등방면적비교균유통계학차이（P＜0．05）。결론：폐기신생인두피정맥수액시가행적，대감소손상우기시두피손상급조성적영향유량호효과。
Objective:Investigate the abandon of scalpel venous infusion for neonates.Methods:Select 80 cases of venous infusion for neonates patients, which were hospitalized in neonatal intensive-care unit( NICU) of our hospital during June and Oct of 2012.The neonates patients were divided two groups randomly, one as observation group ( target group) , another one as reference group.Each group has 40 neonates patients.For the neonates patients in observation group, conduct the non-scalpel venous infusion during their medication in hospital while conduct the routine venous infusion for the neonates patients in the reference group.Results:Compare injuries ( inclu-ding extravasation, ecchymoma, scalp scoring, etc) rate and location, and survey the satisfactory rate of the two groups.For observation group, injury rate is 5.3%,among which 12.5%happened at scalp , while for reference group, injury rate is 16.6%,among which 41. 3%happened at scalp.The difference of indwelling needle use rate, injury rate and injury location between the two groups achieved statis-tical significance(P<0.05).Conclusion:Abandon scalpel venous infusion for neonates is feasible.This may decrease the possible vein injury, specially the scalpel vein injury and will raise the medication quality for neonates patients.