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目的分析经外周静脉置入中心静脉导管(PICC)置管在极低出生体重儿肠外营养中的应用效果。方法 100例体重<1500 g的极低出生体重儿,按照随机方式分成对照组和观察组,各50例。对照组采用外周留置针输液,观察组采用PICC输液。对比两组效果。结果对照组患儿的体重增长为(705.2±6.8)g,静脉输液时间为(20.6±2.2)h,住院时间为(53.3±13.8)d;观察组患儿的体重增长为(733.4±12.7)g,静脉输液时间为(27.2±2.8)h,住院时间为(42.1±15.4)d;观察组在体重增长情况、静脉输液时间以及住院时间方面均显著优于对照组,差异有统计学意义(P<0.05)。观察组感染发生率2.0%(1/50)显著低于对照组的14.0%(7/50),差异有统计学意义(P<0.05)。结论在极低出生体重儿肠外营养中应用PICC置管能保证营养液正常供给,促进患儿体格发育,降低感染发生率,缩短静脉输液时间和住院时间,具有临床应用价值。
Objective To analyze the effect of catheterization of peripherally inserted central venous catheter (PICC) in parenteral nutrition for very low birth weight infants. Methods 100 cases of very low birth weight children with body weight <1500 g were randomly divided into control group and observation group, 50 cases each. The control group received infusion of peripheral indwelling needle, and the observation group received PICC infusion. Compare two sets of effects. Results The body weight of children in the control group was (705.2 ± 6.8) g, the duration of intravenous infusion was (20.6 ± 2.2) h and the length of stay was (53.3 ± 13.8) days. The weight gain of the observation group was (733.4 ± 12.7) g, the time of intravenous infusion was (27.2 ± 2.8) h and the hospitalization time was (42.1 ± 15.4) d. The observation group was significantly better than the control group in body weight gain, intravenous infusion time and hospitalization time, the difference was statistically significant P <0.05). The incidence of infection in the observation group was significantly lower than that in the control group (2.0% (1/50), 14.0% (7/50), P <0.05). Conclusion The application of PICC catheter in parenteral nutrition of very low birth weight children can guarantee the normal nutrition supply, promote physical development of children, reduce the incidence of infection, shorten the time of intravenous infusion and hospital stay, and have clinical value.