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目的分析新生儿经外周静脉穿刺中心静脉置管(PICC)导管的临床护理方法。方法 110例新生儿重症监护病房(NICU)的新生儿,随机分为对照组和观察组,各55例。观察组使用PICC导管的临床护理进行护理,对照组使用常规方法进行护理。比较两组患儿的护理效果及不良反应发生率。结果手术治疗和护理后,观察组患儿中,一次穿刺成功40例,二次穿刺成功12例,三次穿刺成功3例;对照组患儿中,一次穿刺成功28例,二次穿刺成功17例,三次穿刺成功10例。观察组患儿的护理效果明显优于对照组,差异具有统计学意义(P<0.05)。观察组患儿发生静脉炎3例,导管脱落2例,感染2例,堵管2例,术后并发症发生率为16.4%。对照组患儿发生静脉炎9例,导管脱落4例,感染3例,堵管3例,术后并发症发生率为34.5%。观察组术后并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论新生儿PICC导管临床护理方法的临床护理效果明显优于常规方法 ,值得临床推广。
Objective To analyze the clinical nursing of neonates with peripheral venous catheterization (PICC) catheter. Methods One hundred and ten neonates with neonatal intensive care unit (NICU) were randomly divided into control group and observation group, with 55 cases in each group. The observation group was treated with clinical care of PICC catheters and the control group was treated with conventional methods. The nursing effect and the incidence of adverse reactions in both groups were compared. Results After surgery and nursing, 40 cases of successful puncture, 12 cases of successful puncture and 3 cases of successful puncture were observed in the observation group. In the control group, 28 cases were successful in one puncture and 17 cases succeeded in secondary puncture Three successful punctures in 10 cases. The nursing effect of observation group was better than that of control group, the difference was statistically significant (P <0.05). There were 3 cases of phlebitis, 2 cases of catheter fall, 2 cases of infection and 2 cases of occlusion in observation group. The incidence of postoperative complication was 16.4%. There were 9 cases of phlebitis in control group, 4 cases of catheter ablation, 3 cases of infection and 3 cases of occlusion. The incidence of postoperative complications was 34.5%. The incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The clinical nursing effect of neonatal PICC catheter nursing method is obviously better than the conventional method, which deserves clinical promotion.