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早产儿PICC置管改良版体外预测量技术的应用与研究

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目的 探讨改良版体外预测量方法应用在早产儿经外周置入中心静脉导管(PICC)置管中的可行性.方法 选取2018年12月1日至2022年8月31日在首都儿科研究所附属儿童医院行PICC治疗的早产儿95例作为研究对象,按随机数字表法分为对照组47例(采用标准的体外预测量方法)和试验组48例(采用改良版体外预测量方法),比较2组PICC尖端一次性到位率、导管置入长度和留置时间.结果 试验组PICC尖端一次到位率为87.5%,显著优于对照组的59.57%,差异有统计学意义(P<0.05).试验组与对照组在导管置入长度和留置时间方面差异无统计学意义(P>0.05).结论 改良版体外预测量方法与理想置管深度更符合,出现偏差率低,且测量更简便,易操作.
Evaluation of the In Vitro Pre-Measurement Method for PICC in Premature Infants
Objective To investigate the feasibility of applying a modified version of the extracorporeal pre-measurement method in the placement of peripherally inserted central venous catheters ( PICC ) in preterm infants.Methods A total of 95 premature infants who underwent PICC treatment from December 1,2018,to August 31,2022,at the Children's Hospital Affiliated to Capital Institute of Pediatrics were enrolled.They were randomly divided into two groups.The control group ( 47 patients ) was measured with standard in vitro pre-measurement,while the experimental group ( 48 patients ) used the improved in vitro pre-measurement method.The tip insertion success rate,catheter insertion length,and dwell time were compared between the two groups.Results The tip insertion success rate in the experimental group ( 87.5% ) was significantly higher compared to the control group ( 59.57% ) ( P<0.05 ) .There was no statistically significant difference between the experimental and control groups in terms of catheter insertion length and dwell time ( P>0.05 ) .Conclusion The improved in vitro pre-measurement method aligns more closely with the ideal catheter insertion depth,resulting in a lower deviation rate,and is easier to measure and operate.

Premature infantsPeripherally inserted central venous catheterIn vitro pre-measurement methodOperation and technique utilization

郭立涛、闫慧娟、张利、杨鲜云、刘宇然、刘树静

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100020 北京,首都儿科研究所附属儿童医院新生儿内科

婴儿,早产 中心静脉导管 体外预测量方法 操作和技术利用

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(3)