摘要
目的 评估经外周静脉置入中心静脉导管 (PICC)在极低体重儿 (VLBWI)使用中的安全性。方法 将收住NICU的 76例VLBWI随机分为PICC组与周围静脉穿刺组 (PIV组 ) ,分别观察比较两组患儿静脉炎、局部感染及全身感染的发生率及穿刺次数、补液天数。结果 PICC组与PIV组在性别、孕龄 (w)、体重 (g) ,补液天数 (d)均无显著性差别 (P >0 0 5 )。PICC组与PIV组穿刺次数分别为 1 37(1～ 3)次及 10 76 (3～ 18)次 ,有显著性差异 (P <0 0 1) ,而感染率 :PICC组 :全身感染 3/38例(7 89% ) ,静脉炎 3/38例 (7 89% ) ,穿刺部位局部感染 2 /38例 (5 2 6 % ) ;PIV组 :全身感染 7/38例(18 4 2 % ) ,静脉炎 2 /38例 (5 2 6 % ) ,穿刺部位局部感染 3/38例 (7 89% ) ,均无显著性差异 (P >0 0 5 )。结论 PICC可安全、有效地应用于VLBWI ,可显著减少静脉穿刺次数 。
Objective To assess the safety in the very low birth weight infants with peripherally inserted central catheters (PICC).Methods Seventy-six VLBW infants were randomly divided into PICC group or peripherally intravenous catheters(PIV) group.PICC group was compared with PIV group in phlebitis,local infection,bacteremia or fungemia,venous puncture times and catheter days.Results Phlebitis was found in 3 cases of PICC group whereas in 2 cases of PIV group,local infection occurred in 2 cases of PICC group whereas in 3 caes of PIV group.There were 3 cases of bacteremia or fungemia in PICC group,but 7 cases in PIV group (P>0.05).There was significantly difference in venous puncture times [(1.37±0.20) vs (10.78±1.18),P<0.01].Conclusion PICC can be safely and effectively used in VLBWI,it can significantly reduce the times of venous punctrue and not increase the incidence of phlebitis,local infection and bacteremia or fungemia.
出处
《小儿急救医学》
2004年第3期163-164,共2页
Pediatric Emergency Medicine
