吉林医药学院学报2024，Vol.45Issue(4)：273-277,281,6.
新生儿重症监护室不同出生体重儿PICC的现状分析
Status Analysis of PICC in Neonates with Different Birth Weights in Neonatal Intensivecare Units
摘要
Abstract
Objective To analyze the current situation of peripherally inserted central venous catheter(PICC)in infants with different birth weight in neonatal intensive care unit(NICU),and to provide evidence for the improvement of the quality of follow-up care.Meth-ods The clinical data of 908 NICU PICC cases from January 1,2017 to December 31,2021 in a Grade A hospital were retrospectively analyzed and divided into 4 groups according to birth weight(BW).The cathedralization process,maintenance process,complications and causes of extubation among the groups were compared.Results In 82.7%of the children,PICC was catheted through the great sa-phenous vein of the right lower extremity.There were differences in puncture sites among different birth weight groups,and the proportion of femoral vein catheting in BW<1 kg and BW≥2.5 kg groups was higher than that in the other two groups.The overall success rate of one-time puncture was 84.8%,and there was a difference among different birth weight groups.The success rate of one-time puncture in BW≥2.5 kg group was the lowest(65.9%).The overall one-time placement rate was 61.8%,and the over-depth rate was 31.9%.There was no difference in the first placement distribution of catheter tip among different birth weight groups.The overall complication rate was 13.3%,and the rate of unplanned extubation was 1.9%.There was no difference in the total complication rate and unplanned extubation rate among different birth weight groups.Conclusion The complication rate and unplanned extubation rate of PICC are well controlled,but there is still a large room for improvement in the one-time puncture success rate and one-time arrival rate.The future direction of nursing quality improvement should focus on improving the one-time catheterization success rate.关键词
新生儿/PICC/出生体重/一次性穿刺成功/一次性到位Key words
newborn/PICC/birth weight/successful one-time puncture/one-time placement分类
医药卫生引用本文复制引用
朱凌燕,郭舒文,林艺英,张秀虹,林娟斌..新生儿重症监护室不同出生体重儿PICC的现状分析[J].吉林医药学院学报,2024,45(4):273-277,281,6.基金项目
福建省自然科学基金资助项目(2019J01604) （2019J01604）
