摘要
目的探讨预先消毒的方法对预防新生儿经上肢外周静脉穿刺中心静脉置管(PICC)所致静脉炎的效果。方法选取2014年1月—2017年10月新生儿科收治的早产儿60例,分为观察组和对照组,各30例。对照组采用常规PICC导管置管方法,观察组在对照组的基础上采用预消毒法。观察2组静脉炎发生情况、静脉炎出现时间。结果观察组早产儿静脉炎发生率为13.33%(4/30),低于对照组的36.67%(11/30),差异有统计学意义(P<0.05)。2组患儿静脉炎多发生在置管后25~72 h。结论在早产儿行PICC置管前,给予预先消毒的方法,能减少早产儿PICC所致静脉炎的发生率。
Objective To investigate the effect of advanced disinfection in prevention of phlebitis caused by peripherally inserted central catheterization（ PICC） in premature infants. Methods To tally 60 premature infants were assigned to the observation group and the control group,with 30 cases in each group. The routine catheterization method was performed in both two groups,and the advanced disinfection was carried out in the observation group additionally. The incidence and onset time of PICC-induced phlebitis were observed. Results The incidence of PICC-induced phlebitis was 13. 33%（4/30） in the observation group and was 36. 67%（ 11/30） in the control group,with a significant difference（ P〈0. 05）. Most of the PICC-induced phlebitis occurred between 25 hours and 72 hours after catheterization. Conclusion The advanced disinfection before PICC catheterization is potentially effective to reduce the risk of PICC-induced phlebitis in premature infants.
作者
肖月君
谢伟琴
XIAO Yuejun;XIE Weiqin(Department of Neonatology, Guangzhou First People＇s Hospital, Guangzhou, Guangdong, 510180)
出处
《中西医结合护理（中英文）》
2018年第4期112-114,共3页
Journal of Clinical Nursing in Practice
关键词
醋酸氯己定
经外周静脉穿刺中心静脉置管
静脉炎
早产儿
预消毒
chlorhexidine acetate
peripherally inserted central catheterization
phlebitis
premature infants
advance disinfection
