废弃新生儿头皮静脉输液的探讨

A Study of the Discard of Scalpel Venous Infusion for Neonates

目的：探讨新生儿非头皮静脉输液的可行性。方法：将实施静脉输液的80例患儿，按患儿入院时间随机分为观察组和对照组各40例，观察组在住院期间实施非头皮静脉输液，而对照组实施常规静脉输液。结果：比较2组损伤（包括外渗、皮下血肿、头皮刮伤等）率及部位，观察组损伤率5．3％，其中头部占12．5％，对照组损伤率16．6％，其中头部占41．3％。2组在损伤率及部位等方面的比较均有统计学差异（P＜0．05）。结论：废弃新生儿头皮静脉输液是可行的，对减少损伤尤其是头皮损伤及造成的影响有良好效果。

Objective：Investigate the abandon of scalpel venous infusion for neonates.Methods：Select 80 cases of venous infusion for neonates patients, which were hospitalized in neonatal intensive-care unit（ NICU） of our hospital during June and Oct of 2012.The neonates patients were divided two groups randomly, one as observation group （ target group） , another one as reference group.Each group has 40 neonates patients.For the neonates patients in observation group, conduct the non-scalpel venous infusion during their medication in hospital while conduct the routine venous infusion for the neonates patients in the reference group.Results：Compare injuries （ inclu-ding extravasation, ecchymoma, scalp scoring, etc） rate and location, and survey the satisfactory rate of the two groups.For observation group, injury rate is 5.3%,among which 12.5%happened at scalp , while for reference group, injury rate is 16.6%,among which 41. 3%happened at scalp.The difference of indwelling needle use rate, injury rate and injury location between the two groups achieved statis-tical significance（P〈0.05）.Conclusion：Abandon scalpel venous infusion for neonates is feasible.This may decrease the possible vein injury, specially the scalpel vein injury and will raise the medication quality for neonates patients.