新生儿短外周静脉导管与长外周静脉导管的比较：一项回顾性队列研究。
Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study.
作者信息
van Rens Matheus F P T, Hugill Kevin, van der Lee Robin, Piersigilli Fiammetta, Francia Airene L V, van Loon Fredericus H J, Bayoumi Mohammad A A
机构信息
Neonatal Intensive Care Unit, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands.
Department of Nursing and Midwifery Education, Hamad Medical Corporation, Doha, Qatar.
出版信息
Sci Rep. 2025 May 2;15(1):15373. doi: 10.1038/s41598-025-00301-1.
Neonatal-short peripheral intravenous catheters (n-SPCs) and neonatal-long peripheral intravenous catheters (n-LPCs) are widely used for short-term vascular access in neonates. A retrospective single-centred cohort study was conducted in the neonatal intensive care unit between 2019 and 2022 to compare the 2 types of catheters. A total of 34,464 catheter insertions were analysed (32,885 n-SPCs, 1,579 n-LPCs). n-LPCs had longer dwell time (48:27 ± 39:08 h versus 34:01 ± 33:31 h, p < 0.001). Accidental removals were lower in n-LPCs (0.3% versus 2.6%, p < 0.001). n-LPCs had higher rates of phlebitis (16.1% versus 6.6%, p < 0.001) and peripheral intravenous infiltration or extravasation (PIVIE) rate (40.0% versus 29.9%). Severe PIVIE (≥ 30% severity) was higher in n-LPCs (8.5% versus 2.8%, p < 0.001). n-LPCs offer a more stable and effective option for peripheral vascular access in neonates. Their use should be balanced with strategies to reduce the risk of phlebitis and severe PIVIE.
新生儿短外周静脉导管（n-SPCs）和新生儿长外周静脉导管（n-LPCs）广泛用于新生儿的短期血管通路。2019年至2022年期间，在新生儿重症监护病房进行了一项回顾性单中心队列研究，以比较这两种类型的导管。共分析了34464次导管插入情况（32885次n-SPCs，1579次n-LPCs）。n-LPCs的留置时间更长（48:27±39:08小时 vs 34:01±33:31小时，p<0.001）。n-LPCs的意外拔除率较低（0.3% vs 2.6%，p<0.001）。n-LPCs的静脉炎发生率较高（16.1% vs 6.6%，p<0.001），外周静脉浸润或外渗（PIVIE）率也较高（40.0% vs 29.9%）。n-LPCs中严重PIVIE（严重程度≥30%）的发生率更高（8.5% vs 2.8%，p<0.001）。n-LPCs为新生儿外周血管通路提供了一种更稳定、有效的选择。其使用应与降低静脉炎和严重PIVIE风险的策略相平衡。
Zotero 插件