新生儿PICC置管长度测量方法的改良及效果观察

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1、万方数据技术与方法新生儿PICC置管长度测量方法的改良及效果观察方小燕，梁丹清，刘德强，李晓妍，欧阳爱云(深圳市罗湖区人民医院新生儿科，广东深圳518001)【摘要】目的改进新生儿经右上肢静脉置入Plcc导管长度的测量方法。方法便利选取2012年7月至2014年6月在罗湖区人民医院新生儿科行PICC置管的患儿，按时间顺序分为传统组和改良组，传统组测量路线从预穿刺点至右胸锁关节再向下至第3肋间；改良组测量路线从预穿刺点沿静脉走向至右胸锁关节，体质量≥2500g的足月儿加1cm。置管成功后，根据X线胸片确定导管头端的到位情况

2、，比较两组测量方法的准确性。结果改良组PICC置入上腔静脉下1／3处的准确率为92．39％，明显高于传统组的15．11％，差异有统计学意义(P

3、03ImproVementandEffectObserVationofN∞natalPICCCatheterLengthMeasurementMethodFangXiaoyan，LiangDanqing，LiuDeqiang，LiXiaoyan，0uyangAiyun(NeonatologyDepartment，People，sHospitalofLuohuDistrict，Shenzhen518001，GuandongProvince，China)Correspondingauthor：LiangDanqing，E—m

4、ail：321788982@qq．com【AbstractlobjectiVeToimprovethecatheterlengthmeasurementmethodofneonatalPICCcatheterplacementviatherightupperextremityvenous．MethodsByconveniencesampling，newbornwithPIa0catheterplacementwereselectedanddividedintothetraditionalgroupandtheimprov

5、edgroupaccordingtoadmissiontime．Thetraditionalgroupmeasurementpathwaywasfromthepuncturepointtotherightchestandthendowntotheacromioclavicularjoint3rdintercostalspace，whiletheimprovedgroupmesu—arementpathwaywasfrompuncturepointalongtheveintotherightchestlockjoint．F

6、ull—terminfantweight≥2500gplus1cm．Aftersuccessfulcatheterplacement，accordingtoX—raytodeterminetheplaceofcathetertipcase，andaccuracyofmeasurementmethodswerecompared．ResultsImprovedgroupPIoCplacementaccuracywassuperiorvenacavalower1／3of92．39％，whichwassignificantlyh

7、igherthan15．11％ofthetraditionalgroup(P<0．05)．ConclusionUsingtheimprovedmethodwhichofneonatalin—sertedPICCviatherightupperextremityvenous，thecatheter1engthismoreaccurate，whichcaneffec—tivelyimprovetheaccuracyofcathetertipinplacetoensurethesafetyofPICCcatheterindwe

8、Uingandusage．【Keywords】neonatal；PICC；insertedlength；measuringmethod[NursJChinPLA，2015，32(2)：65—66，76]经外周静脉穿刺置人中心静脉导管(peripher—allyinsertedcentralcatheter，PICC)