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目的:探讨集束化管理对新生儿PICC并发症及非计划拔管率的影响。方法:选取行PICC置管的新生儿188例,于2015年4月起实施集束化管理,其中实施集束化管理前的91例患儿为对照组,实施集束化管理后的97例患儿为观察组。对照组给予常规护理,观察组应用集束化管理,比较两组PICC并发症及非计划拔管率。结果:观察组PICC并发症发生率为17.53%,低于对照组的45.05%(P<0.05);观察组非计划拔管率为2.06%,低于对照组的17.58%(P<0.05)。结论:集束化管理能够有效减少新生儿PICC并发症,降低非计划拔管率,保障患儿安全。
Objective: To explore the impact of cluster management on neonatal complications of PICC and unplanned extubation. Methods: A total of 188 neonates with PICC catheterization were selected. Cluster management was carried out in April 2015. The 91 children before cluster management were the control group. 97 children under cluster management Observation group. The control group was given routine care, and the observation group was administered with cluster management. Complications and unplanned extubation rates were compared between the two groups. Results: The incidence of PICC in the observation group was 17.53%, lower than that in the control group (45.05%, P <0.05). The rate of unplanned extubation in the observation group was 2.06%, lower than that in the control group (17.58%, P <0.05). Conclusion: Cluster management can effectively reduce neonatal PICC complications, reduce the rate of unplanned extubation, and ensure the safety of children.