CAJ | 학술논문

目的：探讨腋静脉留置针在早产儿输液中的应用效果。方法2010年1月至2012年12月，采取便利抽样法选取浙江省台州医院新生儿科收治的早产儿200例为研究对象，按随机数字表法将其分为观察组和对照组，每组100例。观察组采用腋静脉穿刺留置针输液，对照组采用头皮及四肢浅静脉穿刺留置针输液，比较两组留置针早产儿并发症发生率、一次穿刺成功率和平均留置时间。结果观察组患儿发生堵塞3例、液体外渗3例、静脉炎1例、脱管2例、折管2例，发生率均低于对照组（均 P ＜0．05）。观察组患者一次穿刺成功率达94％，高于与对照组（P ＜0．05）。观察组留置针保留时间为（5．52±1．21）d，长于对照组（P ＜0．05）。结论早产儿腋静脉留置针的效果优于头皮及四肢浅静脉留置针，值得临床推广和应用。
목적：탐토액정맥류치침재조산인수액중적응용효과。방법2010년1월지2012년12월，채취편리추양법선취절강성태주의원신생인과수치적조산인200례위연구대상，안수궤수자표법장기분위관찰조화대조조，매조100례。관찰조채용액정맥천자류치침수액，대조조채용두피급사지천정맥천자류치침수액，비교량조류치침조산인병발증발생솔、일차천자성공솔화평균류치시간。결과관찰조환인발생도새3례、액체외삼3례、정맥염1례、탈관2례、절관2례，발생솔균저우대조조（균 P ＜0．05）。관찰조환자일차천자성공솔체94％，고우여대조조（P ＜0．05）。관찰조류치침보류시간위（5．52±1．21）d，장우대조조（P ＜0．05）。결론조산인액정맥류치침적효과우우두피급사지천정맥류치침，치득림상추엄화응용。
Objective To explore the application effect of axillary vein indwelling needle in preterm children infusion.Methods By convenience sampling,200 preterm children in the neonatology of Taizhou Hospital were selected and equally divided into observation group and control group.The observation group received transfusion through axillary vein puncture indwelling needle,while the control group was transfused through scalp and limbs superficial vein puncture indwelling needle.The incidence of complications,one time success rate and average indwelling time were compared between two groups.Results The observa-tion group had tubing blockages of 3 cases,3 cases of fluid leakages,1 case of phlebitis,2 cases of tube dropping and 2 cases of folding tube,the incidence rate were lower than control group (all P <0.05).The once puncture success rate was 94% in observation group,which is higher than that in control group (P <0.05).The indwelling needle retention time in observation group (5.52 ± 1.21)d was longer than that in control group (P <0.05).Conclusion The effect of axillary vein indwelling needle is better than the scalp and limbs superficial vein indwelling needle,which is worth for further clinical application and promotion.