PlCC在低出生体重儿静脉营养中应用的临床价值分析

Clinical value of Pl CC in application of parenteral nutrition in low birth weight infants

目的探讨分析经外周中心静脉导管(PICC)在低出生体重儿静脉营养中的临床应用效果。方法选取2013年10月至2015年12月收治的低出生体重儿48例为试验组,均采用PICC行静脉营养支持治疗。同期收治低出生体重儿50例为对照组,均采用外周静脉留置针行营养支持治疗。比较两组留置时间、一次置管成功率以及置管期间并发症情况。结果试验组留置时间为(18.6±3.4)d,一次置管成功率为97.9%(47/48);而对照组留置时间为(4.2±1.7)d,一次置管成功率为80.0%(40/50)。试验组留置时间及一次置管成功率均优于对照组(P<0.05)。治疗期间试验组患儿并发症发生率低于对照组(P<0.05)。结论 PICC静脉营养方式在低出生体重儿应用中并发症较低、留置时间较长,临床效果满意。

Objective To investigate the clinical value of Pl CC in the application of parenteral nutrition in low birth weight infants. Methods Totally 48 cases of low birth weight infants were selected as experimental group and treated with peripherally inserted central catheter（ PICC）,50 cases of low birth weight infants were recruitedas control group in the same period,and treated with peripheral venous indwelling needle. One-time success rate of catheterization,indwelling time,incidenceof complications werecompared. Results The retention time of the experimental group was（ 18. 6 ± 3. 4） days,and the one-time success rate was 97. 9%（ 47/48）. The retention time of the control group was（ 4. 2 ± 1. 7） days,and the one-time success rate was 80%（ 40/50）. The retention time of the test group and the success rate of one time intubation were all superior to that of the control group（ P＜0. 05）. During the treatment period,the incidence of complications in the experimental group was lower than that of the control group（ P＜0. 05）. Conclusion PICC intravenous nutrition in low birth weight infants with low complications and longer indwelling time.