新生儿 PICC 非正常拔管原因分析及防范对策

Reasons analysis and countermeasures for neonatal PICC abnormal extubatio n

目的：探讨和分析新生儿PICC非正常拔管的原因及防范对策。方法选用回顾性调查研究的方法，对在NICU实施PICC置管术的86例新生儿非正常拔管的因素进行统计和分析。结果在本组临床研究对象中，发生非正常拔管13例，占15．12％（13／86）。其中导管异位占46．15％（6／13），堵管占15．38％（2／13），导管相关血流感染（CRBSI）占15．38％（2／13），静脉炎占7．69％（1／13），导管脱出占7．69％（1／13），导管断裂占7．69％（1／13）。结论新生儿PICC非正常拔管主要原因是导管异位及留置期间的各种并发症，护理人员应高度重视，针对相关因素进行预防性干预和规范护理，以降低PICC非正常拔管率，保证护理质量和安全。

Objective To explore the reasons and countermeasures for neonatal PICC abnormal extubation.Methods Retrospective research method was used to count and analyze the risk factors of eighty six cases with neonatal PICC abnormal extubation.Results Among clinical research participates, there were thirteen cases of abnormal tube drawing, accounted for 15.12% （13/86）, among which ectopic catheter accounted for 46.15% （6/13）, tube plugging 15.38%（2/13）,Catheter Related Blood Stream Infection （CRBSI） 15.38%（2/13）, phlebitis 7.69%（1/13）, catheter prolapse 7.69% （1/13） and catheter fracture 7.69%（1/13）.Conclusions The main reasons of neonatal PICC abnormal exbutation are catheter ectopia and indwelling complications.Therefore, clinical nurses should pay more attention to preventing high risks and regulating nursing care for the reduction of abnormal exbutation.