极低及超低出生体质量儿脐静脉导管2种不同固定方法的效果比较

[摘要] Abstract：Objective To evaluate two different methods of umbilical venous catheter fixation for very low(VLBW)and extremely low birth weight(ELBW)infants. Methods 〓Thirty-three VLBW or ELBW infants in total undergoing umbilical venous catheterization were assigned to the control group(n=16)and the intervention group(n=17)according to the fixation methods. In the control group, the method of purse-string suture combined with non-woven adhesive plaster was used to fix the catheter. In the intervention group, the method of round suturing combined with hydrocolloid dressing was used to fix the catheter. Results 〓There was no infant with catheter dislocation, excessive catheter placement or hemorrhage after catheter removal in both two groups. There was no significant difference in incidence of catheter indwelling time, infection, local hemorrhage, abdominal distension or difficulty of catheter removal between two groups(P>0.05). The incidence of medical adhesive-related skin injury was lower in the intervention group than that of the control group(P<0.05). Conclusion 〓The modified fixation methods is potentially effective to prevent the dislocation of umbilical venous catheter and medical adhesive-related skin injuries in VLBW or ELBW infants undergoing umbilical venous catheterization.

[学科分类] 护理学

[关键词] 脐静脉导管;早产儿;极低出生体质量儿;导管固定;新生儿护理