留置针脐静脉插管在新生儿窒息复苏中的应用

Application of umbilical vein intubation with indwelling needle in neonatal asphyxia resuscitation

目的探讨使用留置针进行脐静脉插管在新生儿窒息复苏中的应用。方法选取2017年1月~2018年12月于北京市上地医院分娩的危重新生儿且需要建立静脉液路的患儿58例,采用掷硬币法随机分为两组,实验组28例使用留置针进行脐静脉插管,对照组30例使用脐静脉导管进行脐静脉插管。比较使用两种不同导管进行脐静脉插管的一次操作成功率、操作耗时、导管相关感染率、抢救成功率。结果两组一次插管成功率比较,差异无统计学意义(P>0.05)。实验组的操作耗时显著短于对照组,差异有统计学意义(P<0.05)。两组导管相关感染率比较,差异无统计学意义(P>0.05)。两组抢救成功率比较,差异无统计学意义(P>0.05)。结论在新生儿窒息复苏时,医护人员使用留置针进行脐静脉插管,建立静脉液路更快,能够满足新生儿窒息复苏时静脉用药的需求。

Objective To explore the application of umbilical vein intubation with indwelling needle in neonatal asphyxia resuscitation.Methods From January 2017 to December 2018,a total of 58 cases of critically ill neonates delivered in Beijing Shangdi Hospital and needed to establish venous route were selected.The patients in the experimental group were randomly divided into two groups by coin toss,28 patients in the experimental group were intubated with indwelling needle and 30 patients in the control group were intubated with umbilical vein catheter.The primary operation success rate,operation time,catheter-related infection rate and rescue success rate of umbilical vein intubation with two different catheters were compared.Results There was no significant difference in the success rate of primary intubation between the two groups(P>0.05).The operation time of the experimental group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in catheter-related infection rate between the two groups(P>0.05).There was no significant difference in the success rate of rescue between the two groups(P>0.05).Conclusion In neonatal asphyxia resuscitation,medical staff use indwelling needle to conduct umbilical vein intubation to establish venous route faster,which can meet the demand of intravenous medication in neonatal asphyxia resuscitation.