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于新颖.脐静脉置管联合经外周置入中心静脉导管在极低出生体重儿的应用[J].上海护理,2017,17(2):
脐静脉置管联合经外周置入中心静脉导管在极低出生体重儿的应用
DOI：
中文关键词:  极低出生体重儿  脐静脉插管  经外周置入中心静脉导管
英文关键词:Very low birth weight infants  Umbilical venous catheter  Peripherally inserted central catheter
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作者单位E-mail
于新颖* 中国医科大学附属盛京医院 yuxinying@sj-hospital.org 
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中文摘要:
      [目的]探讨脐静脉置管(UVC)与经外周置入中心静脉导管(PICC)联合使用在早产极低出生体重儿中的应用效果。[方法] 回顾性分析我院新生儿重症监护病房极低出生体重儿74例,其中UVC与PICC联合组36例,留置针联合PICC组38例,观察两组患儿体重增长情况、住院天数、相关感染指标及并发症的发生情况。 [结果] UVC联合PICC组患儿恢复出生体重时间明显短于留置针联合PICC组,差异有统计学意义(P＜0.05),但两组患儿体重降至最低时间、体重达2000g时间、住院期间平均体重增长速率、住院总天数、感染及其它并发症的差异无统计学意义(P＞0.05)。 [结论] 脐静脉置管联合经外周置入中心静脉导管可作为NICU中救治极低出生体重儿维持静脉通路的主要方法,值得临床推广。
英文摘要:
      [Objective] To explore the application of umbilical venous catheter (UVC) combined with peripherally inserted central catheter (PICC) in very low birth weight neonates. [Methods] A retrospective analysis was performed on the very low birth weight infants in the neonatal intensive care unit. 74 cases were analyzed, including 36 cases in the UVC and PICC group and 38 cases in theSintravenous indwelling needle and PICC group. The differences between the two groups were compared in weight gain , length of hospital stay, infection -related indicators and the incidence of complications. [Result] The time of returning to birth weight in UVC and PICC group was significantly shorter than in the intravenous indwelling needle and PICC group(P <0.05). There was no significant differences in the time of reach the lowest weight, the time of weight up to 2000g, the average weight gain during hospitalization , length of hospital stay, infections and the incidence of complications between the two groups (P> 0.05). [Conclusion] The method of UVC combined with PICC can be used as the primary venous access to the very low birth weight infants in NICU , and should be promoted.
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