不同年龄组儿童静脉留置针留置时间和并发症分析

Relationship between retaining time of venous indwelling needle and complication in children of different ages

目的:探讨不同年龄组儿童静脉留置针留置的时间和并发症发生情况。方法:抽取我院儿科住院,使用静脉留置针的患儿200例,随机分成新生儿组,婴幼儿组,学龄前期组,学龄期组每组各50例,观察留置针留置时间和堵塞、外渗、脱出、静脉炎等并发症的发生情况。结果:新生儿组堵塞3例,外渗4例,脱出7例、静脉炎3例,婴幼儿组堵塞7例、外渗12例、脱出7例、静脉炎3例;学龄前期患儿堵塞4例、外渗6例、脱出5例、静脉炎3例;学龄期患儿堵塞2例、外渗2例、脱出1例、静脉炎1例。各组并发症比较差异有显著性(χ2=33.15,P<0.01),并且以外渗为主。4组留置时间比较差异有显著性(F=36.08,P<0.01)。结论:新生儿组和学龄期组患儿使用留置针效果好,婴幼儿组和学龄前期组相对较差。

Objective：To explore the relationship of venous indwelling needle retaining time and comphcations occurred in children of different ages. Methods：200 children with venous indwelling needle were randomly enrolled from pediatric inpatients of our hospital during March 2007 to March 2008, then were divided randomly into newborn group,baby infant group,pre-school age group and school age group to observe the retaining time and complication development such as obstruction,extravasation, exodus,phlebitis,etc.Results：In newborn group, 3 obstruction ,4 extravasation, 7 exodus and 3 phlebitis were developed ;in baby infant group,7 obstruction, 12 extravasation,7 exodus and 3 phlebitis were deveioped; in pre-school age group,4 obstruction,6 extravasation,5 exodus and 3 phlebitis were developed;in school age group,2 obstruction,2 extravasation, 1 exodus and 1 phlebitis were developed. Significance differences were found in complication development （χ^2=33.15 ,P〈0.01）,especially in extravasation. Retaining time of venous indwelling needle of the 4 groups were different si^cantly （F=36.08 ,P〈0.01）.Conclusion：Venous indwelling needle is favorable in newborn group and school age group, while in baby infant group and pre-school age group is comparatively unfavorable.