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外周置入中心静脉导管与外周套管针在新生儿肠外营养中的应用比较。

Peripherally Inserted Central Catheters vs Peripheral Cannulas for Delivering Parenteral Nutrition in Neonates.

机构信息

Neonatal Services, National Health Service Fife, Victoria Hospital, Kirkcaldy, Scotland.

Hull York Medical School and Centre for Reviews and Dissemination, University of York, York, England.

出版信息

JAMA. 2016 Jun 21;315(23):2612-3. doi: 10.1001/jama.2016.7020.

DOI:10.1001/jama.2016.7020
PMID:27327804
Abstract

CLINICAL QUESTION

Is parenteral nutrition via peripherally inserted central catheters (PICCs) associated with better delivery of nutrition and growth and fewer adverse events compared with short peripheral cannulas in neonates?

BOTTOM LINE

Compared with short peripheral cannulas, parenteral nutrition via PICCs is associated with better nutrient delivery and lower rates of subsequent catheters or cannulas placed and is not associated with increased rates of invasive infection.

摘要

临床问题

与短期外周套管相比，经外周静脉置入中心静脉导管（PICC）给予肠外营养是否与新生儿更好的营养输送、生长和更少的不良事件相关？

结论

与短期外周套管相比，PICC 给予肠外营养与更好的营养输送相关，随后放置导管或套管的发生率较低，与侵袭性感染发生率增加无关。

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