中国医刊
中國醫刊
중국의간
CHINESE JOURNAL OF MEDICINE
2015年
6期
70-72
,共3页
经外周置入中心静脉导管%新生儿重症监护室%护理%并发症
經外週置入中心靜脈導管%新生兒重癥鑑護室%護理%併髮癥
경외주치입중심정맥도관%신생인중증감호실%호리%병발증
Peripherally inserted central catheter%Neonatal intensive care unit%Care%Complications
目的探讨针对新生儿重症监护室( neonatal intensive care unit,NICU)新生儿,实施经外周置入中心静脉导管(peripherally inserted central catheter,PICC)获得的临床效果以及护理体会。方法对150例NICU新生儿实施PICC留置术,在置管过程中配合对患儿实施护理。通过随机数表法将所有NICU患儿分为D1组(观察组75例)与D2组(对照组75例),对D1组患儿配合实施常规护理与护理干预相结合的综合性护理措施,与实施常规护理的D2组进行对比。结果D1组75例患儿,成功置管患儿72例,置管成功率为96.00%；D2组75例患儿,成功置管患儿53例,置管成功率为70.67%。对比D1组与D2组患儿的置管成功率,D1组高于D2组患儿明显(P<0.05)。在出现并发症方面,D1组优于 D2组患儿极为显著(P<0.05)。结论同以往的静脉切开方式比较,PICC表现了许多优点,因此针对NICU患儿获得了极为广泛的应用,为患儿的抢救成功和疾病的准确诊断、治疗提供了可靠依据。
目的探討針對新生兒重癥鑑護室( neonatal intensive care unit,NICU)新生兒,實施經外週置入中心靜脈導管(peripherally inserted central catheter,PICC)穫得的臨床效果以及護理體會。方法對150例NICU新生兒實施PICC留置術,在置管過程中配閤對患兒實施護理。通過隨機數錶法將所有NICU患兒分為D1組(觀察組75例)與D2組(對照組75例),對D1組患兒配閤實施常規護理與護理榦預相結閤的綜閤性護理措施,與實施常規護理的D2組進行對比。結果D1組75例患兒,成功置管患兒72例,置管成功率為96.00%；D2組75例患兒,成功置管患兒53例,置管成功率為70.67%。對比D1組與D2組患兒的置管成功率,D1組高于D2組患兒明顯(P<0.05)。在齣現併髮癥方麵,D1組優于 D2組患兒極為顯著(P<0.05)。結論同以往的靜脈切開方式比較,PICC錶現瞭許多優點,因此針對NICU患兒穫得瞭極為廣汎的應用,為患兒的搶救成功和疾病的準確診斷、治療提供瞭可靠依據。
목적탐토침대신생인중증감호실( neonatal intensive care unit,NICU)신생인,실시경외주치입중심정맥도관(peripherally inserted central catheter,PICC)획득적림상효과이급호리체회。방법대150례NICU신생인실시PICC류치술,재치관과정중배합대환인실시호리。통과수궤수표법장소유NICU환인분위D1조(관찰조75례)여D2조(대조조75례),대D1조환인배합실시상규호리여호리간예상결합적종합성호리조시,여실시상규호리적D2조진행대비。결과D1조75례환인,성공치관환인72례,치관성공솔위96.00%；D2조75례환인,성공치관환인53례,치관성공솔위70.67%。대비D1조여D2조환인적치관성공솔,D1조고우D2조환인명현(P<0.05)。재출현병발증방면,D1조우우 D2조환인겁위현저(P<0.05)。결론동이왕적정맥절개방식비교,PICC표현료허다우점,인차침대NICU환인획득료겁위엄범적응용,위환인적창구성공화질병적준학진단、치료제공료가고의거。
Objective To investigate for the neonatal intensive care unit ( NICU) newborns, implementation of clini-cal effects of peripherally inserted central catheter ( PICC) obtained and Nursing . Method A hospital in November 2011, November 2013 NICU newborn 150 cases, the implementation of all children with PICC catheter technique . In the catheterization process with the implementation of care for children . By a random number table method will all NICU were divided into D1 group ( observation group, 75 cases ) and D2 group ( control group 75 cases ) . D2 group patients with the implementation of routine nursing;comprehensive nursing measures were given routine nurs-ing care and nursing intervention on children with a combination of D1 group. Clinical results after completion of treatment compared two groups of children NICU obtained, as well as cases of clinical complications . Result For the D1 group of 75 cases of children, children with 72 cases of successful catheter, catheter success rate of 96. 00%;for the D2 group of 75 cases of children, children with 53 cases of successful catheter, catheter success rate of 70. 67%. Compared with catheter success rate, D1 group was significantly higher than D2 group (P<0. 05). In terms of complications, D1 group was superior than the D2 group of children with highly significant (P<0. 05). Conclusion Compared with the previous phlebotomy way, PICC demonstrated many advantages, so NICU for chil-dren to get a very wide range of applications . In the process of implementation of the rescue of critically ill chil-dren, has become the primary means for the successful rescue of children laid the foundation for an accurate diagno-sis and treatment of diseases of the disease to provide a reliable basis.
