【摘要】 目的评价经外周置入中心静脉导管(PICC)和周围静脉留置针(PIV)在危重新生儿静脉输液中的临床效果。方法回顾性总结2001年8月至2007年2月113例放置PICC和102例置PIV的新生儿的临床资料,比较两组的临床应用情况。结果PICC组置管期间并发症的发生率为31.6%,PIV组为70.4%,两组差异有统计学意义(P<0.05)。PICC组静脉治疗持续时间为(22.5±13.4)d,PIV组静脉治疗持续时间为(14.7±9.6)d,两组差异有统计学意义(P<0.05)。置管期间PICC组患儿的体重增长为(16.6±12.5)g/d,PIV组体重增长为(14.4±22.1)g/d,差异无统计学意义(P>0.05)。结论PICC可显著减少静脉导管相关并发症的发生和静脉穿刺的次数,延长静脉留置时间。更多还原

【Abstract】 Objectives To investigate the effectiveness and safety of peripherally inserted central catheters(PICC)and peripheral intravenous catheters(PIV)in neonates. Methods A retrospective review of neonates with PICC(n = 113)and PIV(n = 102)was conducted to determine if there were difference in catheter-related complication rates,duration of IV use and average weight gain between them. Results The complication rates were significantly lower in the PICC group than that of the PIV group(P < 0.05). There was significantly difference in the duration IV use between the two groups(P < 0.05),but no significant difference in average weight gain(P > 0.05). Conclusions PICC lines reduced the catheter-related complications and may prolong the duration of IV use.更多还原