世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
23期
28-28,35
,共2页
新生儿%颈外静脉%浅静脉%留置针%高渗药物%刺激性药物%临床效果
新生兒%頸外靜脈%淺靜脈%留置針%高滲藥物%刺激性藥物%臨床效果
신생인%경외정맥%천정맥%류치침%고삼약물%자격성약물%림상효과
newborn%the external jugular vein%superficial vein%indwelling needle%Hyperosmotic drugs%irritant drugs%clinical effect
目的：探讨颈外静脉与四肢浅静脉留置套管针在新生儿疾病输注高渗药物(氨基酸、脂肪乳等)、钙剂、多巴胺等刺激性药物后静脉留置套管针留置时间，静脉炎等并发症的发生情况，为临床治疗提供最佳静脉用药途径。方法选择我院就诊新生儿患者需要输注高渗及刺激性药物108例，随机分为试验组和对照组，其中试验组54例，对照组54例。试验组54例采用颈外静脉置管，对照组54例采用四肢浅静脉静脉置管。比较两组患儿静脉留置套管针留置时间，静脉炎等并发症的发生情况。结果试验组静脉留置套管针时间为70.04±14.77小时，对照组静脉留置套管针时间49.49±14.543小时，两组比较差异有统计学意义(P<0.05)。两组患儿均有发生静脉炎，但发生率实验组显著低于对照组(P<0.05)。结论颈外静脉留置套管针输注高渗药物及刺激性药物后静脉留置套管针留置时间明显长于四肢浅静脉组，且发生静脉炎少，是新生儿期较好的静脉用药途径。
目的：探討頸外靜脈與四肢淺靜脈留置套管針在新生兒疾病輸註高滲藥物(氨基痠、脂肪乳等)、鈣劑、多巴胺等刺激性藥物後靜脈留置套管針留置時間，靜脈炎等併髮癥的髮生情況，為臨床治療提供最佳靜脈用藥途徑。方法選擇我院就診新生兒患者需要輸註高滲及刺激性藥物108例，隨機分為試驗組和對照組，其中試驗組54例，對照組54例。試驗組54例採用頸外靜脈置管，對照組54例採用四肢淺靜脈靜脈置管。比較兩組患兒靜脈留置套管針留置時間，靜脈炎等併髮癥的髮生情況。結果試驗組靜脈留置套管針時間為70.04±14.77小時，對照組靜脈留置套管針時間49.49±14.543小時，兩組比較差異有統計學意義(P<0.05)。兩組患兒均有髮生靜脈炎，但髮生率實驗組顯著低于對照組(P<0.05)。結論頸外靜脈留置套管針輸註高滲藥物及刺激性藥物後靜脈留置套管針留置時間明顯長于四肢淺靜脈組，且髮生靜脈炎少，是新生兒期較好的靜脈用藥途徑。
목적：탐토경외정맥여사지천정맥류치투관침재신생인질병수주고삼약물(안기산、지방유등)、개제、다파알등자격성약물후정맥류치투관침류치시간，정맥염등병발증적발생정황，위림상치료제공최가정맥용약도경。방법선택아원취진신생인환자수요수주고삼급자격성약물108례，수궤분위시험조화대조조，기중시험조54례，대조조54례。시험조54례채용경외정맥치관，대조조54례채용사지천정맥정맥치관。비교량조환인정맥류치투관침류치시간，정맥염등병발증적발생정황。결과시험조정맥류치투관침시간위70.04±14.77소시，대조조정맥류치투관침시간49.49±14.543소시，량조비교차이유통계학의의(P<0.05)。량조환인균유발생정맥염，단발생솔실험조현저저우대조조(P<0.05)。결론경외정맥류치투관침수주고삼약물급자격성약물후정맥류치투관침류치시간명현장우사지천정맥조，차발생정맥염소，시신생인기교호적정맥용약도경。
Objective: to investigate the trocar infusion of hyperosmotic drugs in the treatment of neonatal diseases of external jugular vein and superficial vein of limbs (amino acid, fat emulsion etc.), calcium, dopamine and other stimulant drugs after intravenous trocar indwelling time, phlebitis and other complications, to provide the best way for the clinical treatment of intravenous medication. Methods: the treatment of neonatal patients in our hospital need infusion of hypertonic and irritant drugs in 108 cases, were randomly divided into experimental group andcontrol group,54 cases in test group,54 cases in the control group. test group 54 cases were treated by external jugular vein catheter, the control group of 54 patients with limbs superficial vein catheter. the trocar indwelling time of venous indwelling were compared between the two groups, phlebitis and other complications. Results: intravenous trocar time was 70.04 ± 14.77 hours, the control group intravenous trocar time was 49.49±14.543 hours, there was significant difference between two groups(P<0.05).Phlebitis of two groups of children were, but the incidence rate of experimental group was significantly lower than the control group (P<0.05). Conclusion external jugular vein indwelling needle infusion of hyperosmotic drugs and irritant drugs after intravenous trocar indwelling time was significantly longer than limb superficial vein group, and the occurrence of phlebitis, the neonatal period is a good way of intravenous medication.
