中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
3期
631-632,633
,共3页
邓桂珍%谭瑞贞%邓玉环%邵巧仪
鄧桂珍%譚瑞貞%鄧玉環%邵巧儀
산계진%담서정%산옥배%소교의
早产儿%经外周静脉穿刺置入中心静脉导管%异位%纠正方法%举臂靠头法
早產兒%經外週靜脈穿刺置入中心靜脈導管%異位%糾正方法%舉臂靠頭法
조산인%경외주정맥천자치입중심정맥도관%이위%규정방법%거비고두법
premature infants%peripherally inserted central catheter ( PICC)%ectopic%correct method%lift arm abutting head method
目的:分析举臂靠头法在早产儿经外周静脉穿刺置入中心静脉导管( PICC)异位于颈静脉的处理效果。方法选取2013年6月到2014年10月行PICC置管导管尖端异位于颈静脉的早产儿42例作研究对象,随机选取22例为实验组,采用举臂靠头法对异位的导管进行调整,监测调整后效果,其余20例为对照组,以常规方法调整。结果实验组调整次数及成功率与对照组相比较,两者有统计学意义(t=3.89,χ2=78.49,均P<0.05),而两组机械性静脉炎的发生率比较无统计学意义(χ2=0.874, P>0.05)。结论采取举臂靠头法对PICC异位于颈静脉进行正位,操作简单、方便,减少病人的痛苦,减轻家庭负担。
目的:分析舉臂靠頭法在早產兒經外週靜脈穿刺置入中心靜脈導管( PICC)異位于頸靜脈的處理效果。方法選取2013年6月到2014年10月行PICC置管導管尖耑異位于頸靜脈的早產兒42例作研究對象,隨機選取22例為實驗組,採用舉臂靠頭法對異位的導管進行調整,鑑測調整後效果,其餘20例為對照組,以常規方法調整。結果實驗組調整次數及成功率與對照組相比較,兩者有統計學意義(t=3.89,χ2=78.49,均P<0.05),而兩組機械性靜脈炎的髮生率比較無統計學意義(χ2=0.874, P>0.05)。結論採取舉臂靠頭法對PICC異位于頸靜脈進行正位,操作簡單、方便,減少病人的痛苦,減輕傢庭負擔。
목적:분석거비고두법재조산인경외주정맥천자치입중심정맥도관( PICC)이위우경정맥적처리효과。방법선취2013년6월도2014년10월행PICC치관도관첨단이위우경정맥적조산인42례작연구대상,수궤선취22례위실험조,채용거비고두법대이위적도관진행조정,감측조정후효과,기여20례위대조조,이상규방법조정。결과실험조조정차수급성공솔여대조조상비교,량자유통계학의의(t=3.89,χ2=78.49,균P<0.05),이량조궤계성정맥염적발생솔비교무통계학의의(χ2=0.874, P>0.05)。결론채취거비고두법대PICC이위우경정맥진행정위,조작간단、방편,감소병인적통고,감경가정부담。
Objective To analyze the effect of lifting arm abutting head method on correcting displacement of PICC into internal jugular vein in preterm infants. Methods Between June 2013 to October 2014 42 premature infants with peripherally inserted central catheter ( PICC) heterotopia were selected in the study. Twenty-two of them were randomly selected in experimental group and they adopted the method of lifting arm abutting head to correct catheter heterotopia. The remaining 20 cases were in control group and adopted conventional method. Results There was statistical significance in the differences of adjusting times and successful rate between the control group and the experimental group (t=3. 89,χ2 =78. 49,P<0. 05), while there was no significant difference in the incidence of mechanical phlebitis (χ2 =0. 874,P>0. 05). Conclusion Lifting arm abutting head method to adjust PICC heterotopia is simple and easy to operate. It can not only help to reduce the pain of patients, but reduce patients’ family burden.