小儿静脉留置针部位选择与留置时间的护理探讨

目的 探讨不同年龄段小儿静脉留置套管针部位与留置时间的关系.方法 收集我院小儿外科住院患儿留置针892例,按年龄段分为新生儿、婴幼儿和学龄儿三组,对留置针的部位与时间进行统计分析.结果 (1)新生儿组头部、上肢静脉留置针时间较下肢长,有统计学意义(P<0.05);婴幼儿组静脉留置针时间为头部>上肢>下肢,有统计学意义(P<0.05);学龄儿组上肢静脉留置针时间略大于下肢,无统计学意义(P>0.05);(2)比较不同年龄组小儿静脉留置针时间,学龄儿>新生儿>婴幼儿,有统计学意义(P<0.05).结论 新生儿和要幼儿静脉穿刺部位以头部为最佳,学龄儿应首选上肢;静脉留置针保留最佳时间为96 h左右.

Study on position choice and indwelling time of intravenous catheter system in children

Objective To explore the relation of the puncture position and the optimal indwelling time of intravenous catheter system in different age stage children. Methods Cases of 892 were divided into three groups according to age in pediatric surgery of our hospita: newborn infant, infant and school age child. Then sta-tistical analyze the relation of puncture position and Indwelling time of intravenous catheter system. Results (1) In newborn group, the indwelling time of intravenous catheter system of scalp wein and upper limps wein are longer than lower limbs wein (P< 0. 05). In infant group, the indwelling time of intravenous catheter system of scalp wein longer than upper limps wein, both longer than lower limbs ( P < 0. 05). There were no significant difference in school age child group; (2) Compare the indwelling time of intravenous catheter system in differentage stage children, the school age child is the longest and the infant is longer than infant. Conclusion The optimal puncture position of intravenous catheter system was scalp wein in newborn and infant, hand wein is the best choice in the school age. The optimal indwelling time of intravenous catheter system was about 96 h.