摘要
目的比较颈静脉和股静脉留置针在NICU患儿中的应用效果。方法将160例患儿按随机数字表法分为颈静脉穿刺组和股静脉穿刺组各80例。观察两组患儿留置套管针的时间、首针穿刺成功率和各种并发症发生的情况。结果颈静脉穿刺组患儿留置套管针的时间为（7．26±2．16）d，股静脉穿刺组为（9．87±2．93）d，两组比较差异有统计学意义（t=-6．25，P〈0．05）；首针穿刺成功率差异无统计学意义（P〉0．05）。静脉炎、堵管、脱管、外渗、渗血、局部感染发生例数股静脉穿刺组均少于颈静脉穿刺组，差异有统计学意义（x。值分别为8．41，7．83，4．10，4．78，5．77，5．77；P〈0．05）。结论NICU患儿选择股静脉留置套管针可以延长留置时间，降低并发症发生，减轻了患儿的痛苦，也降低了医疗费用，值得临床推广。
Objective To investigate and compare the effect of the intravenous infusion by the jugular vein and femoral vein catheter in NICU. Methods 160 infants admitted to hospital were randomly divided into the jugular vein group and the femoral vein group with 80 patients in each group. The duration of time, success rate of the first puncture and complications were observed in patients with indwelling needle tracer. Results Retention time in the jugular vein group （7.26 ± 2. 16） d was shorter than that of the femoral vein group （9.87 ± 2.93 ） d （ t = - 6.25, P 〈 0,05 ）. No difference was found for the success rate of the first puncture （P 〉 0.05 ）. Occurrence of phlebitis, blockage, drop off, extravasation, oozing of blood, and local infection were all lower in the femoral vein group （x2 = 8.41,7.83,4.10,4.78,5.77,5.77, respectively; P 〈 0.05 ）. Conclusions Femoral venous catheter for the NICU patients has extended retention time, lower complications, less pain, lower costs and is worth for promotion.
出处
《中华现代护理杂志》
2012年第28期3412-3414,共3页
Chinese Journal of Modern Nursing
关键词
儿科监护室
颈静脉留置针
股静脉留置针
静脉输液
Newborn intensive care unit
Jugular venous catheter
Femoral venous catheter
Intravenous infusion
