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UVC联合PICC在极低体重儿中的应用

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目的:探究脐静脉置管(UVC)联合外周中心静脉置管(PICC)在极低体重儿中的应用。方法:回顾性分析2021年10月—2022年12月浙江省人民医院毕节医院收治的82例极低体重儿。根据置管方式的不同将其分为对照组和观察组,各41例。对照组给予PICC,观察组给予UVC联合PICC。比较两组体重情况及住院时间,置管前后营养状况、骨代谢指标、并发症及家属满意度。结果:置管后,观察组体重高于对照组,住院时间短于对照组,差异有统计学意义(P<0。05)。置管后,观察组白蛋白、白蛋白水平均高于对照组,差异有统计学意义(P<0。05)。置管后,观察组碱性磷酸酶(ALP)、磷(P)、钙(Ca)均高于对照组,差异有统计学意义(P<0。05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0。05)。观察组家属总满意度高于对照组,差异有统计学意义(P<0。05)。结论:UVC联合PICC能够有效提高极低体重儿体重增长,改善营养状况及骨代谢,降低并发症发生风险,缩短住院时间,进而提高家属满意度。
Application of UVC Combined with PICC in Very Low Body Weight Infants
Objective:To explore the application of umbilical vein catheterization (UVC) combined with peripheral central venous catheterization (PICC) in very low body weight infants.Method:A total of 82 very low body weight infants admitted to Bijie Hospital,Zhejiang Provincial People's Hospital from October 2021 to December 2022 were retrospectively selected.They were divided into control group and observation group according to different methods of pipe placement,with 41 cases in each group.The control group was given PICC,the observation group was given UVC combined PICC.The weight condition,length of hospital stay,nutritional status,bone metabolism indexes before and after tube placement,complications and family satisfaction were compared between the two groups.Result:After catheterization,the body weight of the observation group was higher than that of the control group,and the length of hospitalization was shorter than that in control group,the differences were statistically significant (P<0.05).After catheterization,prealbumin and albumin levels in observation group were higher than those in control group,and the differences were statistically significant (P<0.05).After catheterization,alkaline phosphatase (ALP),phosphorus (P) and calcium (Ca) in observation group were higher than those in control group,and the differences were statistically significant (P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant (P<0.05).The total satisfaction of family members in the observation group was higher than that in the control group,and the difference was statistically significant (P<0.05).Conclusion:UVC combined with PICC can effectively increase the weight gain of very low weight infants,improve nutritional status and bone metabolism,reduce the risk of complications,shorten hospital stay,and improve family satisfaction.

Very low body weight childUmbilical vein catheterPeripheral central venous catheterizationLength of hospitalizationNutritional statusBone metabolism indexComplications

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浙江省人民医院毕节医院 贵州 毕节 551700

极低体重儿 脐静脉置管 外周中心静脉置管 住院时间 营养状况 骨代谢指标 并发症

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(29)