【摘要】 目的探讨颈外静脉与四肢浅静脉留置套管针在新生儿疾病输注高渗药物(氨基酸、脂肪乳等)、钙剂、多巴胺等刺激性药物后静脉留置套管针留置时间,静脉炎等并发症的发生情况,为临床治疗提供最佳静脉用药途径。方法选择我院就诊新生儿患者需要输注高渗及刺激性药物108例,随机分为试验组和对照组,其中试验组54例,对照组54例。试验组54例采用颈外静脉置管,对照组54例采用四肢浅静脉静脉置管。比较两组患儿静脉留置套管针留置时间,静脉炎等并发症的发生情况。结果试验组静脉留置套管针时间为70.04±14.77小时,对照组静脉留置套管针时间49.49±14.543小时,两组比较差异有统计学意义(P<0.05)。两组患儿均有发生静脉炎,但发生率实验组显著低于对照组(P<0.05)。结论颈外静脉留置套管针输注高渗药物及刺激性药物后静脉留置套管针留置时间明显长于四肢浅静脉组,且发生静脉炎少,是新生儿期较好的静脉用药途径。更多还原

【Abstract】 Objective: To investigate the trocar infusion of hyperosmotic drugs in the treatment of neonatal diseases of external jugular vein and superficial vein of limbs(amino acid, fat emulsion etc.), calcium, dopamine and other stimulant drugs after intravenous trocar indwelling time, phlebitis and other complications, to provide the best way for the clinical treatment of intravenous medication.Methods: the treatment of neonatal patients in our hospital need infusion of hypertonic and irritant drugs in 108 cases, were randomly divided into experimental group andcontrol group,54 cases in test group,54 cases in the control group. Test group 54 cases were treated by external jugular vein catheter, the control group of 54 patients with limbs superficial vein catheter. The trocar indwelling time of venous indwelling were compared between the two groups, phlebitis and other complications. Results: intravenous trocar time was 70.04 ± 14.77 hours, the control group intravenous trocar time was 49.49±14.543 hours, there was significant difference between two groups(P<0.05).Phlebitis of two groups of children were, but the incidence rate of experimental group was significantly lower than the control group(P<0.05). Conclusion external jugular vein indwelling needle infusion of hyperosmotic drugs and irritant drugs after intravenous trocar indwelling time was significantly longer than limb superficial vein group, and the occurrence of phlebitis, the neonatal period is a good way of intravenous medication.更多还原