新生儿脐静脉插管定位方法的对比分析研究

目的：探讨超声引导下脐静脉插管术（Umbilical vessel catheterization,UVC）定位方法在新生儿中的临床应用效果。方法将98例脐静脉插管术的新生儿按照数字表法随机分为两组,对照组49例给予常规X线检查定位;观察组49例采用超声引导UVC,并比较两组置管效果、创伤后炎症反应程度、插管并发症发生率。结果观察组一次性插管成功率为100.00%明显高于对照组的77.55%（χ2=12.3908,P<0.05）;而插管留置时间（11.38±1.41）d则长于对照组（9.52±1.23）d（t=7.835, P<0.05）,观察组血清中CRP、TNF-α、IL-6及IL-8含量均低于对照组（P<0.05）,观察组插管并发症发生率为4.08%而显著的低于对照组18.37%（χ2=5.0178,P<0.05）。结论超声引导下进行脐静脉置管术的置管成功率较高,插管留置时间较长,创伤所引起的炎症反应很轻,并发症发生率非常的低,值得临床大力推广应用。

Neonatal Umbilical Vein Intubation Positioning Method of Comparative Analysis Research

objective To explore the ultrasound guided by the umbilical vein intubation technique(umbilical vessel catheteri-zation,UVC)locating method in neonatal clinical effect.Methods 98 cases of neonatal umbilical vein intubation for the table ac-cording to the figures were randomly divided into two groups,49 cases were given routine X-ray positioning;Observation group of 49 patients with UVC guided by ultrasound,and compare the effect of two groups of catheter,post-traumatic inflammation reaction de-gree,the complication rate of intubation.Results The one-time success rate of intubation was 100.00% observation group was ob-viously higher than that of control group 77.55%(χ2=12.3908,P<0.05);And intubation lien time is longer than the control group (11.38±1.41)d (9.52±1.23),d (t=7.835,P<0.05),the observation group in serum CRP,TNF alpha,IL-6 and IL-8 levels are lower than the control group (P<0.05),the observation group intubation complications was 4.08% and significantly lower than the control group 18.37%(χ2=5.0178,P<0.05).Conclusion Under the guidance of ultrasound umbilical vein tube insertion.we higher success rate of catheter,cannula indwelling time longer,trauma caused by the inflammatory response is very light,complication rate is very low,is worth the clinical promoted application.