摘要
目的:探究改良紧急脐静脉插管术在重度窒息新生儿复苏中的应用与经济成本分析。方法:回顾性分析2018年1月-2020年1月本院收治的78例重度窒息新生儿的临床资料,根据静脉插管术方式分组,对照组接受传统紧急脐静脉插管术(n=28),改良组接受改良紧急脐静脉插管术(n=50)。比较两组置管情况(一次置管成功率、导管留置时间)、临床体征(心率、呼吸、皮肤颜色)恢复正常时间、住院时间与经济成本(住院费用)、插管并发症(感染、局部渗血、穿破血管、腹胀、拔管困难)发生情况。结果:改良组一次置管成功率高于对照组,导管留置时间短于对照组,差异均有统计学意义(P<0.05);改良组心率、呼吸、皮肤颜色恢复正常时间均短于对照组(P<0.05);改良组住院时间、住院费用均低于对照组(P<0.05);改良组局部渗血、腹胀发生率均低于对照组(P<0.05),两组感染、穿破血管、拔管困难发生情况比较,差异均无统计学意义(P>0.05)。结论:改良紧急脐静脉插管术操作简便,应用于重度窒息新生儿复苏中可改善其临床体征、降低住院时间与经济成本,有利于减少插管并发症发生。
Objective:To explore the application and economic cost analysis of modified emergency umbilical vein catheterization in resuscitation of severely asphyxiated neonates.Method:The clinical data of 78 neonates with severe asphyxia who were admitted to our hospital from January 2018 to January 2020 were retrospectively analyzed,they were grouped according to the differences of vein catheterization,the control group received traditional emergency umbilical vein catheterization(n=28),the modified group received modified emergency umbilical vein catheterization(n=50).The catheterization status(success rate of one-time catheterization,catheter indwelling time),normal recovery times of clinical signs(heart rate,breathing,skin color),hospital stay and economic cost(hospitalization cost),complications of intubation(infection,local bleeding,puncture of blood vessels,abdominal distension,difficulty in extubation)occurred were compared between the two groups.Result:The success rate of one-time catheterization in the modified group was higher than that in the control group,the catheter indwelling time was shorter than that in the control group,there were statistically significant differences(P<0.05).Heart rate,breathing and skin color of the modified group were shorter than those of the control group(P<0.05).The hospital stay and hospitalization cost in the modified group were lower than those in the control group(P<0.05).The incidence of local bleeding and abdominal distension in the modified group was lower than that in the control group(P<0.05),the incidence of infection,puncture of blood vessels and difficulty in extubation in the two groups were not statistically significant(P>0.05).Conclusion:The modified emergency umbilical vein catheterization is easy to operate,its application in the resuscitation of severely asphyxiated neonate can improve their clinical signs,reduce the hospital stay and economic costs,and is conducive to reducing the incidence of intubation complications.
作者
曾慧芳
林玉玲
ZENG Huifang;LIN Yuling(Maternity and Child Health Hospital of Longgang District,Shenzhen 518172,China)
出处
《中国医学创新》
CAS
2020年第30期169-172,共4页
Medical Innovation of China
关键词
改良紧急脐静脉插管术
重度窒息
新生儿
复苏
医疗费用
Modified emergency umbilical vein catheterization
Severe asphyxia
Neonate
Resuscitation
Medical cost
