新生儿危重症救治中脐静脉置管时机选择及效果

Timing of umbilical vein catheterization in neonates with critical illness and its efficacy

  • 摘要:
      目的  探讨不同脐静脉置管时机对新生儿危重症救治过程中的影响及临床效果。
      方法  将新生儿危重症患者80例作为临床观察对象,依据不同的脐静脉置管时间进行分组,将出生30 min后接受脐静脉置管术的患儿作为实验组,出生2~6 h接受脐静脉置管术的患儿作为对照组,比较2组患儿的治疗效果、并发症发生情况、平均留置时间、置管成功率以及留置时间超过1周的例数。
      结果  实验组患儿治疗有效率、置管成功率均显著高于对照组患儿(P < 0.05), 实验组平均留置时间短于对照组(P < 0.05), 实验组留置时间超过1周比例显著低于对照组(P < 0.05), 实验组患儿并发症发生率显著低于对照组(P < 0.05)。
      结论  在新生儿危重症救治过程中应用脐静脉置管术可以有效提高临床疗效,早期置管成功率更高,可以有效缩短患儿留置时间。

     

    Abstract:
      Objective  To analyze the influence of different timing of umbilical vein catheterization and its clinical effect during neonatal critical care treatment.
      Methods  A total of 80 neonatal critically ill neonates admitted to our hospital were divided into two groups according to different timing of umbilical vein catheterization. The neonates in experimental group received umbilical vein catheterization within 30 minutes after birth, those in the control group received umbilical vein catheterization at 2 to 6 hours after birth. The therapeutic effects, incidence of complications, mean indwelling time, success rate of catheterization, and the number of cases with indwelling time over one week were compared between the two groups.
      Results  The effective rate of treatment and the success rate of catheterization in the experimental group were higher than those in the control group (P < 0.05). The average indwelling time of the experimental group was lower than that of the control group (P < 0.05). The proportion of neonates with retention time more than 1 week and the incidence of complications of the experimental group were lower than that in the control group (P < 0.05).
      Conclusion  Umbilical vein catheterization can effectively improve the clinical efficacy, effectively shorten the indwelling time, and has higher success rate of catheterization during the rescue of neonates.

     

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