早产低出生体重儿采用脐静脉置管的有效性及安全性分析

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Abstract Objective To investigate the efficacy and safety of umbilical vein catheterization(UVC)for premature and low birth weight infants.Methods From July 2018 to October 2021,50 cases of premature and low birth weight infants admitted to Yunfu Maternal and Child Health Hospital in Guangdong Province were selected as the research objects.They were divided into the observation group and the control group by random number table method,with 25 cases in each group.The control group received conventional peripheral central venous catheterization(PICC)support treatment,and the observation group received UVC support treatment.The changes of nutritional indexes,the success rate of onetime puncture,the rate of unplanned extubation,the weight gain and the depth of catheterization in the two groups were compared before and after treatment,and the incidence of adverse events in the two groups were counted.Results The plasma albumin level of the two groups after treatment were higher than those before treatment,and the plasma albumin level of the observation group after treatment was higher than that of the control group,the differences were statistically significant(P＜0.05).The success rate of one-time puncture and weight gain in the observation group after treatment were higher than those in the control group,and the unplanned extubation rate,depth of catheterization and the incidence of adverse events in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).Conclusion The implementation of UVC support treatment for premature and low birth weight infants can effectively improve the treatment effect and promote the recovery of signs,and the risk of adverse events caused by UVC is lower.Compared with conventional PICC,its effectiveness and safety are higher.

Key words： Premature and low birth weight infants Umbilical vein catheterization Supportive treatment Effectiveness Security

Received: 29 November 2021

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	WU Weijie

Cite this article:

WU Weijie. Efficacy and safety analysis of umbilical vein catheterization for premature and low birth weight infants[J]. 中国当代医药, 2022, 29(11): 74-76.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I11/74

[1]	钟庆华，段江，曾洁，等.早产小于胎龄儿临床及危险因素分析[J].中国儿童保健杂志，2020，28（3）：261-264.
[2]	李富.新生儿临床风险指数在早产低出生体重儿中的应用分析[J].医药前沿，2019，9（12）：254-255.
[3]	周福心，区婷珍.早产儿PICC 置管术中置管体位的改良与导管异位的关系研究[J].中国保健营养，2020，30（10）：29.
[4]	吴旭红，马爱萍，钟学红，等.早产儿经PICC 进行肠外营养的持续质量改进效果观察[J].中国护理管理，2020，20（3）：343-347.
[5]	李雪莲，汪丽，伍莉.输液港脐静脉置管在危重新生儿救治中的应用效果[J].检验医学与临床，2020，17（7）：969-971.
[6]	刘巧艳，阎蕾，朱丽群，等.外周静脉短导管选择与置入的最佳证据分析[J].护士进修杂志，2020，35（6）：550-555.
[7]	周波.血清白蛋白对新生儿败血症患儿预后判定的临床价值[J].临床合理用药杂志，2017，10（5）：149-150.
[8]	乔淑兰，赵英荣，苗晓.极低和超低出生体重儿脐静脉导管不同固定方法的比较[J].护理学杂志，2020，35（14）：39-40.
[9]	林创廷，王巧洪，黄慧婷，等.体尺和体重测量在新生儿脐静脉置管深度的随机对照研究[J].广东医学，2019，40（9）：1314-1317.
[10]	冯淑菊，薄海欣，王亚静，等.早产儿经外周静脉置入中心静脉导管置管长度与身体参数相关性初探[J].解放军护理杂志，2019，36（10）：87-89.
[11]	姜敏，盖建芳，张丽芬，等.降低新生儿经外周穿刺中心静脉置管术导管相关血流感染的分析与防范[J].中国药物与临床，2020，20（6）：1050-1052.
[12]	贾晨路，梁婷，苏立，等.不同胎龄及体重新生儿遗传代谢病筛查相关指标的比较[J].江苏预防医学，2020，31（2）：204-206.
[13]	李媛，康华，张姣，等.新生儿脐静脉置管/经外周静脉穿刺中心静脉置管相关性心包积液/心脏填塞的临床分析[J].中华新生儿科杂志(中英文），2019，34（6）：408-412.
[14]	夏晓芹，招建华，张家杰，等.脐静脉置管序贯外周中心静脉置管对早产极低出生体重儿应用效果分析[J].中国临床医生杂志，2019，47（10）：1171-1173.
[15]	蔡玉桃，郭晓萍，刘会.新生儿脐静脉导管留置方法的安全性研究[J].护理研究，2020，34（11）：2009-2011.
[16]	郭永琴，李建丽，胡晶.脐静脉置管联合经外周静脉置入中心静脉导管在极低出生体质量儿中的临床应用[J].实用医技杂志，2019，26（9）：1103-1106.
[17]	李琳.脐静脉置管术在早产儿中的应用加其并发症预防分析[J].山西医药杂志，2019，48（19）：2433-2434.
[18]	孟丽娟，邬艳萍，甘淑辉.脐静脉置管联合经外周静脉置入中心静脉导管在极低出生体质量儿中的应用效果探讨[J].基层医学论坛，2021，25（11）：1553-1554.