超声引导技术在新生儿外周深静脉置管中的应用价值分析的回顾性研究。
Retrospective Study of the Application Value Analysis of Ultrasound-Guided Technology in Peripheral Deep Venous Catheterization of Neonates.
机构信息
Neonatal Department, Gansu Provincial Maternity and Child-Care Hospital, 143 Qilihe North Street, Lanzhou City, Gansu Province, China 730050.
出版信息
Dis Markers. 2022 Jul 23;2022:1726906. doi: 10.1155/2022/1726906. eCollection 2022.
OBJECTIVE
To investigate the application value analysis of ultrasound-guided technology in peripheral deep venous catheterization of neonates.
METHOD
A total of 94 neonates who underwent peripheral deep venous catheterization treatment from March 2020 to August 2021 in our hospital were selected and divided into the study group and the control group according to the simple randomized method, and each group had 47 cases. The control group was performed peripheral deep venous catheterization through X-ray examination, while the study group was performed peripheral deep venous catheterization through ultrasound-guided technology. The catheter placement, catheter retention time and adjustment times, the incidence of complications (limb swelling, pain, fluid leakage, and phlebitis), and the intervention satisfaction of family members were counted.
RESULTS
The success rate of one-time catheterization in the study group was higher than that in the control group, the operation time was shorter than that in the control group, and the amount of bleeding was less than that in the control group. The indwelling time of catheter in the study group was longer than that in the control group, and the number of adjustments was less than that in the control group. The incidence of complications in the study group was lower than that in the control group. The intervention satisfaction of family members in the study group was higher than that in the control group.
CONCLUSION
Peripheral deep venous catheterization in neonates through ultrasound-guided technology can reduce operation time and blood loss and ensure the success rate of one-time catheterization, resulting in a long indwelling time of catheter, low number of adjustments, and low incidence of complications, which has safety and high intervention satisfaction of family members.
目的
探讨超声引导技术在新生儿外周深静脉置管中的应用价值分析。
方法
选取我院 2020 年 3 月至 2021 年 8 月收治的 94 例行外周深静脉置管治疗的新生儿，按照简单随机法分为研究组和对照组，各 47 例。对照组行 X 线检查下外周深静脉置管，研究组行超声引导技术下外周深静脉置管。统计导管置管成功率、导管留置时间、调整次数，并发症（肢体肿胀、疼痛、液体外渗、静脉炎）发生情况，以及家属干预满意度。
结果
研究组一次性置管成功率高于对照组，操作时间短于对照组，出血量少于对照组；研究组导管留置时间长于对照组，调整次数少于对照组；研究组并发症发生率低于对照组；研究组家属干预满意度高于对照组。
结论
新生儿外周深静脉置管采用超声引导技术，可减少手术时间和出血量，保证一次性置管成功率，使导管留置时间长、调整次数少、并发症发生率低，具有安全性高、家属干预满意度高的特点。
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