留置针在早产儿外周静脉营养中的临床应用及体会

目的探讨早产儿不同部位外周静脉留置留置针的优缺点。方法将406例孕32～35w早产儿按不同外周静脉部位分为两组，四肢静脉组203例，腋静脉组203例，分别观察两组不同部位静脉留置留置针情况和留置针留置时间，根据临床资料进行回顾性分析，总结护理经验。结果腋静脉留置留置针后局部出现肿胀、渗液、静脉炎等均比四肢静脉少，留置时间更长。结论需要外周静脉营养的早产儿可以选择腋静脉留置留置针，这样可以减少穿刺频率和对患儿的不良刺激，提高护理质量。

Indwelling Needle in Clinical Application of Peripheral Intravenous Nutrition in Preterm Infants

Objective To analyze advantages and disadvantages of peripheral venous indwelling catheter in premature infantsf Methods 406 cases of 32-35 weeks premature babies with different peripheral venous sites were divided into two groups, limb vein group of 203 cases and axillary vein group of 203 cases. The detaining time of intravenous indwelling needle and the status of indwelling needle were analyzed, according to a retrospective analysis of the clinical data to summarize the nursing experience. Results Local swelling, liquid infiltration and phlebitis were much less in axillary vein indwelling catheter than in limb vein, with a longer retention time. Conclusion For peripheral parenteral nutrition in premature infants, axillary vein indwelling catheter is better than limb vein indwelling needle, thus reducing the puncture frequency, reducing negative stimulation of children, decreasing complications, and improving the quality of care.