宁夏某三级医院新生儿重症监护病房脐静脉导管相关并发症的回顾性研究
Review of Umbilical Venous Catheter-Related Complications in a Tertiary Neonatal Intensive Care Unit in Ningxia
DOI: 10.12677/acrp.2026.141001, PDF,    科研立项经费支持
作者: 崔莹莹*, 罗 秀*, 徐 迁, 田 珍, 闫 丽, 杨 花, 杨 娟, 马智梅, 牛 芳, 刘惠莉, 康 波, 纪永佳#：北京大学第一医院宁夏妇女儿童医院(宁夏回族自治区妇幼保健院)新生儿科，宁夏 银川
关键词: 早产儿；脐静脉置管；并发症；中央导管相关性血流感染；Premature Infants； Umbilical Venous Catheter； Complications； Central Line-Associated Bloodstream Infection
摘要: 目的：分析新生儿重症监护病房中脐静脉置管(umbilical venous catheter, UVC)相关并发症的发生情况及影响因素。方法：采用回顾性队列研究，纳入2022年7月至2023年7月宁夏某三级医院156例接受UVC的早产儿，收集其临床资料并分析并发症发生情况。结果：早产儿平均胎龄为(32.17 ± 2.53)周，平均出生体重为(1597.34 ± 466.86) g；UVC平均留置7 (3,9)天，其中高位组112例(71.79%)，低位组44例(28.21%)。共发生并发症：导管尖端移位5例(3.20%)，堵管6例(3.84%)，渗血渗液1例(0.64%)，中央导管相关性血流感染(central line-associated bloodstream infection, CLABSI) 9例(5.80%)，心律失常2例(1.28%)，胸腔积液1例(0.64%)，坏死性小肠结肠炎4例(2.56%)。结论：本研究UVC相关并发症发生率符合国际规范，但仍应加强临床规范操作与并发症预防，以改善新生儿预后。
Abstract: Objective: To analyze the incidence and influencing factors of complications related to umbilical venous catheter (UVC) in neonatal intensive care unit. Methods: A retrospective cohort study was conducted, enrolling 156 preterm infants who received UVC in a tertiary hospital in Ningxia between July 2022 and July 2023. Clinical data were collected, and the occurrence of complications was analyzed. Results: The mean gestational age of preterm infants was (32.17 ± 2.53) weeks, with a mean birth weight of (1597.34 ± 466.86) g. The median UVC indwelling time was 7 (3, 9) days, comprising 112 cases (71.79%) in the high-position group and 44 cases (28.21%) in the low-position group. The complications observed were catheter tip malposition in 5 cases (3.20%), catheter occlusion in 6 cases (3.84%), exudation/bleeding in 1 case (0.64%), central line-associated bloodstream infection (CLABSI) in 9 cases (5.80%), arrhythmia in 2 cases (1.28%), pleural effusion in 1 case (0.64%), and necrotizing enterocolitis in 4 cases (2.56%). Conclusion: The incidence of UVC-related complications in this study is in line with international norms, but clinical standard operation and complication prevention should be strengthened to improve neonatal prognosis.
文章引用：崔莹莹, 罗秀, 徐迁, 田珍, 闫丽, 杨花, 杨娟, 马智梅, 牛芳, 刘惠莉, 康波, 纪永佳. 宁夏某三级医院新生儿重症监护病房脐静脉导管相关并发症的回顾性研究[J]. 亚洲儿科病例研究, 2026, 14(1): 1-9. https://doi.org/10.12677/acrp.2026.141001

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