CAJ | 학술논문

目的：分析比较腋静脉留置针与头皮或上肢静脉留置针在静脉营养治疗中的应用效果。方法本研究纳入新生儿科2011年1月至2012年6月收治的100例需要静脉营养的患儿作为研究对象，将这100例患儿按不同的输液方式分为两组，实验组采用腋静脉留置针途径输注，对照组采用头皮或上肢静脉留置针途径输注。通过记录留置的时间、观察患儿烦躁哭闹情况、发生输液外渗、堵塞及静脉炎等并发症情况进行比较。结果实验组留置的时间为（6.25±1.42） d，烦躁哭闹发生率8.93％，并发症发生率12.5％；对照组留置的时间是（3.05±0.86）d，烦躁哭闹发生率25％，并发症发生率45.5％；两组比较差异有统计学意义（P＜0.05）。结论在行静脉营养治疗中，选用腋静脉留置针途径效果明显优于头皮或上肢静脉留置针，值得临床推广应用。
목적：분석비교액정맥류치침여두피혹상지정맥류치침재정맥영양치료중적응용효과。방법본연구납입신생인과2011년1월지2012년6월수치적100례수요정맥영양적환인작위연구대상，장저100례환인안불동적수액방식분위량조，실험조채용액정맥류치침도경수주，대조조채용두피혹상지정맥류치침도경수주。통과기록류치적시간、관찰환인번조곡료정황、발생수액외삼、도새급정맥염등병발증정황진행비교。결과실험조류치적시간위（6.25±1.42） d，번조곡료발생솔8.93％，병발증발생솔12.5％；대조조류치적시간시（3.05±0.86）d，번조곡료발생솔25％，병발증발생솔45.5％；량조비교차이유통계학의의（P＜0.05）。결론재행정맥영양치료중，선용액정맥류치침도경효과명현우우두피혹상지정맥류치침，치득림상추엄응용。
Objective To compare the clinical effects between the axillary vein and the scalp vein or upper limbs vein detained needle when being used for neonatal intravenous nutrition.Methods 100 neonates needing for in-travenous nutrition from Januanry 2011 to June 2012 were randomly divided into 2 groups: the axillary vein detained needle group ( experiment group) , the scalp vein or upper limbs vein detained needle group ( control group) .Retaining time, crying incidence and complication incidence were compared.Results The retaining time, crying incidence and complication incidence of experiment group were (6.25±1.42) d, 8.93%and 12.5%respectively.The retaining time, crying incidence and complication incidence of control group were (3.05±0.86) d, 25%and 45.5%respectively.The differences between the two groups were significant.Conclusion The axillary vein detained needle is better than the scalp vein or upper limbs vein detained needle.It can be used widely in clinic.