中线导管在早产儿和极低体重儿输液应用中30例分析

Analysis of 30 Cases of Application of Midline Catheter in Transfusion of Premature and Very Low Weight Infants

目的:探讨经外周置入中线导管和外周留置针在早产儿和极低体重儿使用中线导管进行静脉输液治疗的护理。方法:将早产儿和极低体重儿60例,随机分成实验组和对照组,每组各30例,对照组采用传统的外周静脉留置针进行输液,实验组采用经外周静脉置入中线导管进行输液。结果:实验组在静脉穿刺总时间、置管次数、导管保留时间、静脉炎的发生率显著优于对照组,两组比较差异有统计学意义(P<0.05)。结论:经外周静脉置入中线导管输液的早产儿和极低体重儿减少置管次数、延长导管保留的时间、减少静脉穿刺的时间、减少静脉炎的发生率、保护患儿的血管,减少患儿的痛苦和护士工作量、提高患儿家属的满意,值得临床推广应用。

Objective:To investigate the nursing of intravenous infusion of midline catheter and peripheral indwelling needle in premature and very low weight infants.Methods:60 cases of premature infants and very low body weight infants were randomly divided into experimental group and control group,with 30 cases in each group.Results:The total time of venipuncture,catheterization times,catheter retention time and the incidence of phlebitis in the experimental group were significantly better than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Through peripheral vein in the midline catheter infusion of premature and low birthweight babies to reduce the number of insertion,extend the catheter retention time,reduce the time of the venipuncture,reduce the incidence of phlebitis,protect the patient’s blood vessels,reduce the patient’s pain and nursing workload and raise families of children with satisfaction,worthy of clinical popularization and application.