超声引导并定位导管尖端在早产儿PICC置管中的应用

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Abstract Objective To investigate the application effect of ultrasound-guided positioning of catheter tip in the peripherally inserted central catheter(PICC)catheterization in premature infants.Methods A total of 30 premature infants admitted to the Department of Neonatology of the Pingxiang People′s Hospital from January 2019 to December 2020 were selected and divided into the observation group(15 patients)and the control group(15 patients)according to the random number table method.The observation group were given bedside ultrasound-guided positioning of catheter tip,and the control group were given X-ray radiography positioning.The operation time and intraoperative blood loss of PICC catheterization,success rate of PICC puncture,and total incidence of complications were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group,and the intraoperative blood loss in the observation group was less than that in the control group,with statistically significant differences(P<0.05).The success rate of PICC puncture in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Ultrasound-guided positioning of catheter tip can significantly improve the success rate of PICC catheterization,shorten the catheterization time,and reduce the incidence of complications in preterm infants.It can be used as the first choice for PICC tip positioning in premature infants.

Key words： Premature infants Peripherally inserted central catheter Ultrasound-guided positioning X-ray imaging Catheterization success rate

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	Articles by authors
	YAN Ping-xia
	LUO Yan
	CHEN Rong
	LI Sha

Cite this article:

YAN Ping-xia,LUO Yan,CHEN Rong, et al. Application of ultrasound-guided positioning of catheter tip in PICC catheterization in premature infants[J]. 中国当代医药, 2021, 28(27): 133-135-139.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I27/133

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