CAJ | 학술논문

目的：比较外周静脉穿刺与经胸腹壁静脉穿刺的应用效果。方法将80例新生儿按常规采用外周静脉组（头皮静脉、四肢静脉等）置留置针，胸腹壁静脉组（胸腹壁静脉）置入留置针，比较2组的一次性成功率、留置时间、并发症发生率。结果胸腹壁静脉穿刺成功率及保留时间显著优于外周静脉组（P<0.01），并发症少于外周静脉组（P<0.01）。结论经胸腹壁静脉穿刺成功率高，血管保留时间长，并发症发生率低，保证了新生儿重症监护室（NICU）新生儿静脉通道的畅通，使各种药物及营养成分能及时输入。
목적：비교외주정맥천자여경흉복벽정맥천자적응용효과。방법장80례신생인안상규채용외주정맥조（두피정맥、사지정맥등）치류치침，흉복벽정맥조（흉복벽정맥）치입류치침，비교2조적일차성성공솔、류치시간、병발증발생솔。결과흉복벽정맥천자성공솔급보류시간현저우우외주정맥조（P<0.01），병발증소우외주정맥조（P<0.01）。결론경흉복벽정맥천자성공솔고，혈관보류시간장，병발증발생솔저，보증료신생인중증감호실（NICU）신생인정맥통도적창통，사각충약물급영양성분능급시수입。
Objective To investigate the in peripheral venous puncture difficulties,through the comparison of thoracic and abdominal wall vein puncture effect. Methods 80 cases of neonatal routinely using the peripheral vein group ( scalp vein,limbs vein indwelling needle ) set,chest and abdominal wall vein group ( thoraco abdominal wall vein indwelling needle ) implantation,compared two groups of vein one-time success rate, incidence of complications, indwelling time. Results The chest and abdominal wall vein puncture success rate and retention time was significantly better than that of peripheral vein group two (Note:one time puncture success rate comparison,χ2=9.038,P<0.01). Conclusion the thoracic and abdominal wall vein puncture success rate high,vascular retention time is long, the peripheral group venous retention time of (2+1)days,thoracic and abdominal group venous retention time was(2.5+1.5) days,vascular complications and low. Ensure NICU in neonatal venous channels unblocked,the various drugs and nutrition can timely input.