举臂靠头法纠正早产儿PICC异位于颈静脉的效果观察

Effect of lifting arm abutting head method on correcting displacement of PICC into internal jugular vein in preterm infants

目的分析举臂靠头法在早产儿经外周静脉穿刺置入中心静脉导管(PICC)异位于颈静脉的处理效果。方法选取2013年6月到2014年10月行PICC置管导管尖端异位于颈静脉的早产儿42例作研究对象,随机选取22例为实验组,采用举臂靠头法对异位的导管进行调整,监测调整后效果,其余20例为对照组,以常规方法调整。结果实验组调整次数及成功率与对照组相比较,两者有统计学意义(t=3.89,x^2=78.49,均P<0.05),而两组机械性静脉炎的发生率比较无统计学意义(x^2=0.874,P>0.05)。结论采取举臂靠头法对PICC异位于颈静脉进行正位,操作简单、方便,减少病人的痛苦,减轻家庭负担。

Objective To analyze the effect of lifting arm abutting head method on correcting displacement of PICC into internal jugular vein in preterm infants. Methods Between June 2013 to October 2014 42 premature infants with peripherally inserted central catheter （ PICC） heterotopia were selected in the study. Twenty-two of them were randomly selected in experimental group and they adopted the method of lifting arm abutting head to correct catheter heterotopia. The remaining 20 cases were in control group and adopted conventional method. Results There was statistical significance in the differences of adjusting times and successful rate between the control group and the experimental group （t=3. 89,χ2 =78. 49,P〈0. 05）, while there was no significant difference in the incidence of mechanical phlebitis （χ2 =0. 874,P〉0. 05）. Conclusion Lifting arm abutting head method to adjust PICC heterotopia is simple and easy to operate. It can not only help to reduce the pain of patients, but reduce patients’ family burden.