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新生儿PICC导管相关性静脉炎危险因素分析 预览

Analysis Risk Factors of PICC Catheter-related Phlebitis in Neonates
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摘要 目的研究新生儿PICC导管相关性静脉炎产生原因及危险因素,为护理提供依据。方法将2017年3月—2018年3月医院收治的300例留置PICC导管的患儿设为研究对象,了解静脉炎产生情况,分析影响因素。结果研究对象中导管静脉炎几率为11.67%。单因素分析发现,两组新生儿的出生和置管时体质量、置管静脉、置管前导管有无被浸泡、导管末端异位方面的差异有统计学意义(P<0.05)。多因素分析发现,置管时体质量、导管末端异位、置管前导管有无被0.9%氯化钠溶液浸泡是独立影响因素(P<0.05),且置管时体质量、置管前0.9%氯化钠溶液浸泡导管属于保护因素,导管末端异位属于危险因素。结论PICC置管前,用0.9%氯化钠溶液浸泡导管、尽可能杜绝导管异位,以降低新生儿静脉炎几率;为较轻的新生儿置管时,动作应轻柔,以免损伤血管。 Objective To study the causes and risk factors of neonatal PICC catheter-related phlebitis, to provide evidence for nursing care. Methods 300 neonatal patients with PICC catheter indwelling admitted to the hospital from March 2017 to March 2018 were selected as research objects to understand the occurrence of phlebitis and analyze the influencing factors. Results The incidence of phlebitis among the research objects was 11.67%. Univariate analysis found that there were statistically significant differences between the two groups in neonatal body weight at the time of birth and catheterization, catheterization vein, whether the catheter was soaked before catheterization and ectopic catheter end (P < 0.05). Multivariate analysis showed that body weight during catheterization, ectopic catheter end,and whether the catheter was soaked with 0.9% sodium chloride solution before catheterization were independent influencing factors (P < 0.05), and body weight during catheterization and immersion of the catheter with 0.9% sodium chloride solution before catheterization were protective factors, while ectopic catheter end was a risk factor. Conclusion Before the PICC catheterization, the catheter was soaked with 0.9% sodium chloride solution and ectopic catheterization was eliminated as far as possible to reduce the incidence of neonatal phlebitis. When placing the catheter for the lighter neonates, the operation should be gentle, so as not to damage the blood vessels.
作者 陈玲莉 CHEN Lingli(Department of Nursing,Hubei Dangyang People's Hospital,Dangyang Hubei 444199,China)
出处 《中国继续医学教育》 2019年第19期177-179,共3页 China Continuing Medical Education
关键词 导管插入术 新生儿 静脉炎 PICC 导管 危险因素 catheterization neonates phlebitis PICC catheter risk factors
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