危重新生儿有创动脉血压穿刺点渗血的相关因素研究

目的探讨危重新生儿有创动脉血压穿刺点渗血的相关因素,并完善有创动脉血压监测在新生儿中的应用。方法收集208例行有创动脉血压监测的危重新生儿的一般资料、实验室检查指标,分析其与动脉穿刺点渗血的相关性。结果危重新生儿有创动脉血压穿刺点渗血率为59.13%。监测时间、血小板计数、凝血酶原时间是动脉穿刺点渗血的影响因素。结论危重新生儿行有创动脉血压监测超过3 d时,护理人员应加强巡视危重新生儿穿刺点有无渗血,且行有创动脉血压监测前及监测期间应高度关注患儿的血小板计数及凝血酶原时间,以降低患儿穿刺点渗血的发生率。

Research on the related factors of puncture point errhysis in critically ill newborn with invasive arterial blood pressure monitoring

Objective To explore the relevant factors of puncture point errhysis in critically ill newborn with invasive arterial blood pressure monitoring,so as to perfect the application of invasive arterial blood pressure monitoring in neonates.Methods The general information,laboratory examination indexes of 208 neonates receiving invasive arterial blood pressure monitoring were collected.The influence factors of invasive puncture point errhysis were analyzed by using regression analysis.Results The errhysis rate of critically ill newborns was 59.13％.Monitoring time,platelet count and prothrombintime were the influencing factors of artery puncture point errhysis.Conclusion When the time of invasive arterial blood pressure monitoring of critically ill neonates exceeded three days,nurses should intensively observe the early symptoms of puncture piont errhysis.Besides,before and during invasive arterial blood pressure monitoring,nurses should be highly concerned about the platelet count and prothrombintime,so as to reduce the incidence of errhysis.