极低出生体重儿脐静脉置管术和PICC置管术的优点和缺点对比分析

Comparative Analysis of Advantages and Disadvantages of Umbilical Vein Catheterization and PICC Catheterization for Very Low Birth Weight Infants

摘要: 目的：探讨极低出生体重儿脐静脉置管术和PICC置管术的优点和缺点。方法：对我院收治的极低出生体重儿分别经外周静脉穿刺和脐静脉进行中心静脉置管，观察并比较其肠外营养支持效果。结果：脐中组新生儿静脉置管的各定性、定量评价指标和置管后的各营养指标均明显优于外中组新生儿(P < 0.05)，体重恢复速度明显快于外中组新生儿(P < 0.05)，不良反应发生率明显高于外中组新生儿(P < 0.05)，并发症发生率明显低于外中组新生儿(P < 0.05)。结论：极低出生体重儿的肠外营养支持中脐静脉置管术的有效性、营养性和高效性均优于PICC置管术。

Abstract: Purpose: To explore the advantages and disadvantages of umbilical vein catheterization and PICC catheterization for very low birth weight infants. Methods: To observe and compare the effect of parenteral nutrition support for very low birth weight infants treated in our hospital by central ve-nous catheterization through peripheral venous puncture and umbilical vein. Results: The qualita-tive and quantitative evaluation indexes and nutritional indexes of the neonates in the middle um-bilical group were significantly better than those in the middle umbilical group (P < 0.05), the weight recovery rate was significantly faster than that in the middle umbilical group (P < 0.05), the incidence of adverse reactions was significantly higher than that in the middle umbilical group (P < 0.05), and the incidence of complications was significantly lower than that in the middle umbilical group (P < 0.05). Conclusion: Umbilical vein catheterization is superior to PICC in the effectiveness, nutrition and efficiency of parenteral nutrition support for very low birth weight infants.