【摘要】 目的 探讨以专科护士为主导的PDCA循环质量管理模式在经外周置入中心静脉导管置管（PICC）早产儿中的应用效果。方法 选取2019年5月至2020年5月广西医科大学第一附属医院新生儿科收治的102例早产儿作为研究对象，按照随机数字表法将其分为对照组（51例）与观察组（51例）。对照组采用常规护理模式进行PICC护理，观察组在对照组的基础上实施以专科护士为主导的PDCA循环质量管理模式的干预措施进行导管护理。比较两组机械性静脉炎发生率与严重程度、一次性置管成功率、PICC留置时间及送管耗时。结果 观察组机械性静脉炎发生率为13.72%，低于对照组的35.29%(P<0.05)。观察组一次性置管成功率高于对照组，送管耗时短于对照组（P<0.05）。两组静脉炎严重程度、PICC留置时间比较，差异无统计学意义（P > 0.05）。结论 以专科护士为主导的PDCA循环质量管理模式能够有效降低早产儿PICC置管后机械性静脉炎发生率，提高置管质量及护理工作效率，值得临床推广应用。更多还原

【Abstract】 Objective To explore the application effect of PDCA circulation quality management mode led by specialized nurses in premature infants with peripherally inserted central venous catheter(PICC). Methods A total of 102 premature infants who were admitted to the Department of Neonatology, the First Affiliated Hospital of Guangxi Medical University from May 2019 to May 2020 were selected as the research objects, and they were divided into control group(51 cases) and observation group(51 cases) according to the method of random number table. The control group received routine nursing mode for PICC care, and on the basis of the control group, the observation group received PICC care based on PDCA circulation quality management mode led by specialist nurses. The incidence and severity of mechanical phlebitis, the success rate of disposable catheterization, PICC retention time and time-consuming of catheter placement were compared between the two groups. Results The incidence of mechanical phlebitis in the observation group was 13.72%, which was lower than that in the control group(35.29%)(P < 0.05). The success rate of disposable catheterization in the observation group was higher than that in the control group, and time-consuming of catheter placement was shorter than that in the control group(P < 0.05). There were no significant differences in the severity of mechanical phlebitis and PICC retention time between the two groups(P > 0.05). Conclusion PDCA cycle quality management mode led by specialized nurses can effectively reduce the incidence of mechanical phlebitis after PICC catheterization in premature infants, improve the catheterization quality and nursing efficiency, which is worthy of clinical application.更多还原