| 徐微,王楠,徐业芹,丁培,顾瑞,刘蓓蓓.早产儿PICC导管位置影响因素及最佳置入长度分析[J].上海护理,2019,19(11): |
| 早产儿PICC导管位置影响因素及最佳置入长度分析 |
| Analysis of influencing factors of picc catheter location and optimal insertion length in premature infantsXU Wei, WANG Nan, XU Yeqin, et al. Department of Neonatal, Obstetrics and Gynecology Hospital ,Affiliated to Nanjing Medical University,Nanjing 210004,CHINA |
| DOI： |
| 中文关键词: 早产儿 经外周静脉置入中心静脉导管 导管位置 影响因素 置入长度 |
| 英文关键词: |
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| 中文摘要: |
| 目的 探讨早产儿PICC导管位置影响因素,并分析其置管最佳长度与体重变化的相关性。方法 采用整群抽取法,搜集2017年4月至2019年2月本院新生儿监护室实施PICC置管术患儿80例,明确早产儿PICC导管位置异位的相关危险因素及独立危险因素。统计异位表现,并分析PICC导管置入深度与体重相关性。结果 置管时胎龄、置管时体重、置管时机械通气、置管时日龄、置管部位、留置时间及置管外漏长度为早产儿PICC导管异位的相关危险因素。置管时胎龄≤32周,置管时体重≤1500g,置管时行机械通气,置管时日龄≤3d,置管部位为上肢(贵要静脉),留置时间＞1周及置管外漏长度＞2cm者,为早产儿PICC导管异位的独立危险因素。置入过浅者3例(18.75%),置入过深者6例(37.5%),路径异常者7例(43.75%),经上肢(贵要静脉)PICC导管置入深度和经下肢(腘静脉)PICC导管置入深度均与体重呈正相关性(P<0.05)。结论 早产儿PICC导管置管,建议穿刺时选择下肢腘静脉实施,并妥善固定,尽量保证外漏部位在2cm以内,同时随着患儿体重的增加,及时了解导管位置十分必要。 |
| 英文摘要: |
| Objective To explore the influencing factors of PICC catheter location in premature infants and analyze the correlation between the optimal length of PICC catheter and weight change. Methods Using cluster sampling method, 80 cases of infants undergoing PICC catheterization in our neonatal intensive care unit from April 2017 to February 2019 were collected, and the related risk factors and independent risk factors of ectopic PICC catheter position in premature infants were identified. Statistical ectopic performance, and analysis of PICC catheter insertion depth and weight correlation. Result Gestational age at catheter insertion, weight at catheter insertion, mechanical ventilation at catheter insertion, catheter insertion time and age, catheter insertion site, indwelling time and catheter leakage length were the relevant risk factors for ectopic PICC catheter in premature infants. Gestational age ≤32 week, body weight ≤1500g, mechanical ventilation during catheterization, catheter age≤3 days, upper limb (vena basilica), indwelling time>1 week and catheter leakage length>2cm are independent risk factors for PICC catheter ectopic in premature infants. There were 3 cases (18.75%) with shallow insertion, 6 cases (37.5%) with deep insertion, and 7 cases (43.75%) with abnormal path. The insertion depth of PICC through upper limb (vena basilica) and lower limb (popliteal vein) were positively correlated with body weight (P<0.05). Conclusions PICC catheter insertion for premature infants is recommended to be performed by lower limb popliteal vein and properly fixed to ensure that the leakage position is within 2cm as far as possible. At the same time, it is necessary to know the catheter position in time as the weight of the child increases. |
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