早产儿静脉置管营养并发机械性静脉炎的护理
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Nursing of venous nutrition on phlebitis induced by peripherallyinserted central catheter in premature infants
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    摘要:

    【摘要】 目的 探讨早产儿经外周静脉置入中心静脉导管(PICC)营养液输入后发生机械性静脉炎的护理措施。方法 选取2013年1月~2015年12月在我科住院,不同程度发生了机械性静脉炎并给予PICC穿刺置管的极低体重出生早产儿64例,将患儿随机分为观察组和对照组,每组各32例。对照组患儿发生机械性静脉炎时给予患处贴敷水凝胶敷贴及红外线灯光照射联合治疗;观察组在对照组处理的基础上停止静脉营养液的输入直至静脉炎消失。比较两组静脉炎消失时间、15天体重增长、住院天数及费用。结果 观察组静脉炎消失时间与对照组比较差异无统计学意义(P>005));15天体重增长值观察组与对照组比较差异有统计学意义(P<005);观察组达到出院指标时间与对照组比较差异有统计学意义(P<005);观察组达到出院指标所需费用与对照组比较差异有统计学意义(P<005)。结论 早产儿在静脉营养过程中,PICC发生机械性静脉炎时,不应盲目停止静脉营养液的输入,经过处理无好转或加重时再考虑停止静脉营养液的输入或拔出PICC导管。

    Abstract:

    【Abstract】 Objective To explore the nursing of venous nutrition on phlebitis induced by peripherallyinserted central catheter in premature infants. Methods 64 premature infants with venous nutrition on phlebitis induced by peripherallyinserted central catheter were divided into observation group and control group. The control group was treated with hydrogel applicator and infrared light irradiation. The observation was treated with hydrogel applicator and infrared light irradiation and stopped Input of venous nutrient solution. The disappearance time of phlebitis, weight gain of 15 days, hospitalization days and expenses were compared between the two groups. Results The disappearance time of phlebitis in the observation group and control group were not different (P> 005). The 15 day weight and hospitalization cost of observation group was different from that of control group (P< 005). Conclusion When mechanical phlebitis occurs in preterm infants during venous nutrition, venous nutrition should not be stopped. After no improvement or aggravation, we should stop the infusion of venous nutrient solution or pull out the PICC catheter.

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  • 在线发布日期: 2018-06-28
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