县级医院早产儿PICC的应用对体重的影响研究

Effect of PICC on weight in premature infants at county hospital

目的:针对县级医院早产儿(<37周活产婴儿)尤其是极低出生体重儿(<1500 g)长期静脉营养治疗、输注血管活性及高渗性药物、住院时间长无静脉通路,往上级医院转出率较高这一现状,比较研究县级医院经外周穿刺中心静脉置管术(PICC)与普通留置针患儿的体重增长、呕吐情况的差异。方法:随机选取60例早产儿作为研究对象进行回顾性总结分析,其中30例为PICC实验组,30例为普通留置针对照组,比较观察住院2周患儿的体质量增长幅度及呕吐情况。结果:实验组较对照组而言,体质量增长更快,患儿呕吐次数少,差异具有统计学意义(P<0.05)。结论:PICC技术在县级医院的应用使得早产儿患儿体重增长更快,从而缩短患儿的住院天数,患儿疼痛刺激少,呕吐次数少,值得推广应用。

Objective:It is aimed to treat premature infants less than 37 weeks of age,especially very low birth weight infants less than 1500 g with long-term Intravenous nutrition,infusion of vasoactive and hypertonic drugs,and long-term hospitalization without venous access To study the fact that the transfer rate of PICC to higher level hospitals is higher,we compared PICC with common indwelling needle in basic level hospitals,and compared with Peripherally inserted central Catheter in basic level hospitals.Methods:60 premature infants were randomly selected as the study subjects,among which 30 were PICC experimental group and 30 were normal control group.Results:Compared with the control group,the experimental group gained more weight and vomited less than the control group(P<0.05).Conclusion:the application of PICC in preterm infants in primary hospitals can make the weight gain faster,shorten the length of stay,with less pain and less vomiting.