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不同更换敷料方法对早产儿PICC并发症的影响
引用本文:高锦华. 不同更换敷料方法对早产儿PICC并发症的影响[J]. 中国卫生标准管理, 2021, 0(4): 76-79
作者姓名:高锦华
作者单位:厦门大学附属妇女儿童医院/厦门市妇幼保健院新生儿科
基金项目:厦门市科技计划立项资助项目(3502Z20174022)。
摘    要:
目的 探讨不同敷料更换方法 对早产儿经外周静脉置入中心静脉导管(peripher-ally inserted central catheter,PICC)并发症的影响,为选择适合新生儿的敷料更换方法 提供依据.方法 将2016年9月—2018年10月PICC置管的203例早产儿随机分为对照组和试验组,对照组敷料更换按照...

关 键 词:敷料更换方法  早产儿  经外周静脉置入中心静脉导管  并发症  导管移位和脱出  皮肤损伤

Effects of Different Dressing Changing Methods on PICC Complications in Premature Infants
GAO Jinhua. Effects of Different Dressing Changing Methods on PICC Complications in Premature Infants[J]. China Health Standard Management, 2021, 0(4): 76-79
Authors:GAO Jinhua
Affiliation:(Department of Neonatology,Women and Children’s Hospital,School of Medicine,Xiamen University/Xiamen Maternal and Child Care Hospital,Fujian Province,Xiamen Fujian 361000,China)
Abstract:
Objective Explore the effects of different dressing replacement methods on PICC complications in premature infants.The purpose of this study is to provide a basis for the selection of dressing replacement methods suitable for newborns.Methods The 203 premature infants with catheterization from September 2016 to October 2018 were randomly divided into the control group and the experimental group.The dressings in the control group were changed according to the PICC dressing replacement method of catheterization in practical neonatal nursing.The dressing replacement method in the experimental group was improved on the basis of the original dressing replacement method,and the improved dressing replacement method was used to change the dressing.Compared the effects of two dressing replacement methods on the complications of PICC in premature infants.Results The incidences of puncture site infection(1.031%),skin injury related to medical adhesive(3.093%)and catheter displacement or prolapse(4.124%)in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion The improved dressing replacement method is safer and more effective than the traditional dressing replacement method,and the improved dressing replacement method can better reduce catheter-related complications,which is worth popularizing.
Keywords:dressing replacement method  premature infants  PICC  complications  catheter displacement and prolapse  skin lesions
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