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Application of umbilical vein intubation with indwelling needle in neonatal asphyxia resuscitation |
ZHOU Xiulian1 HE Haochen2 FU Xiaohui1 GAO Xiaowei3 |
1.Department of Neonatal, Beijing Shangdi Hospital, Beijing 100084, China;
2.Center of Preventive Treatment of Disease, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
3.Delivery Room, Beijing Shangdi Hospital, Beijing 100084, China |
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Abstract Objective To explore the application of umbilical vein intubation with indwelling needle in neonatal asphyxia resuscitation. Methods From January 2017 to December 2018, a total of 58 cases of critically ill neonates delivered in Beijing Shangdi Hospital and needed to establish venous route were selected. The patients in the experimental group were randomly divided into two groups by coin toss, 28 patients in the experimental group were intubated with indwelling needle and 30 patients in the control group were intubated with umbilical vein catheter. The primary operation success rate, operation time, catheter-related infection rate and rescue success rate of umbilical vein intubation with two different catheters were compared. Results There was no significant difference in the success rate of primary intubation between the two groups (P > 0.05). The operation time of the experimental group was significantly shorter than that of the control group, and the difference was statistically significant (P < 0.05). There was no significant difference in catheter-related infection rate between the two groups (P > 0.05). There was no significant difference in the success rate of rescue between the two groups (P > 0.05). Conclusion In neonatal asphyxia resuscitation, medical staff use indwelling needle to conduct umbilical vein intubation to establish venous route faster, which can meet the demand of intravenous medication in neonatal asphyxia resuscitation.
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[1] 邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].4版.北京:人民卫生出版社,2011:923.
[2] 徐韬,岳青,王惠珊,等.第二周期中国新生儿复苏项目实施效果评价[J].中华围产医学杂志,2017,20(5):346-351.
[3] 叶鸿瑁,虞人杰.新生儿复苏教程[M].6版.北京:人民卫生出版社,2012.
[4] 莫革琴.新生儿脐动脉和脐静脉插管术护理体会[J].实用临床护理学杂志,2016,1(3):132-133.
[5] 李妙容,唐仕肖,柳丹.细节管理对新生儿窒息复苏的影响[J].齐鲁护理杂志,2019,25(7):117-119.
[6] 孙桂荣.新生儿窒息期间助产护理的具体方法以及应用价值[J].世界最新医学信息文摘,2019,19(53):273-274.
[7] 吴荷玉,王萍,祝茹生,等.剖宫产窒息新生儿手术室现场复苏[J].护理学杂志,2013,28(10):45-46.
[8] 卢浩棠,韦芳,卢爱仪.脐静脉插管术应用于早产儿救治的效果分析[J].实用中西药结合临床,2015,15(7):52-54.
[9] 吴春华.新生儿窒息的抢救与护理分析[J].中国实用医药,2013,8(28):219-220.
[10] 陈小娜.极低出生体重儿联合应用PICC与脐静脉插管的临床应用效果分析[J].中医临床研究,2018,10(33):126-128.
[11] 赵霞,薄杰.改良新生儿脐静脉插管固定方法的临床探讨[J].中国新生儿科杂志,2016,31(1):52-54.
[12] 孙妙清.改良脐静脉插管固定方法在高危新生儿中的应用效果观察[J].医药前沿,2017,7(14):203-204.
[13] 安艳斌,王红云,哈斯塔娜.脐静脉置管术后不同固定方法临床应用效果比较[J].世界最新医学信息文摘:连续型电子期刊,2016,16(82):225.
[14] 马丽娜.脐静脉插管在高危新生儿中的应用与护理[J].疾病监测与控制,2017,11(11):946-947.
[15] 陶美姣,邓寅业,朱曦怡,等.脐静脉插管术应用于早产儿救治的效果观察[J].中国社区医师,2019,35(20):24,26.
[16] 赵林.气管插管与脐静脉插管给药对改善新生儿缺氧及提高成活率的作用[J].浙江临床医学,2016,18(3):535-536.
[17] 梁少清.静脉留置针在新生儿窒息复苏中的应用[J].临床护理杂志,2013,12(6):74-75.
[18] 梅花,贺晓春,何婧,等.脐静脉置管术在危重新生儿中的应用[J].四川医学,2016,37(2):230-232.
[19] 王淑荣,张巍.新生儿危重症救治中脐静脉置管时机研究[J].中国医刊2015,50(6):37-40.
[20] 刘丹,李秋芳,章哲.极低出生体重儿脐静脉置管67例的护理[J].护理与康复,2014,6(13):554-556.
[21] 唐琴.极低出生体重儿脐静脉置管的护理[J].临床监护,2017,17(29):216-217.
[22] 白妙琴,闫永红,于凤琴,等.极低出生体重儿脐静脉插管后的日常维护及并发症的护理[J].中国现代药物应用,2014,8(10):196-198.
[23] 潘冬妮.脐静脉插管留置术在新生儿重症监护病房的应用价值研究[J].临床医药文献杂志,2019,6(15):26-27.
[24] 徐龙,李海岳,廖颖文,等.超声引导下脐静脉插管术在新生儿中应用价值分析[J].实用中西医结合临床,2018, 18(5):122-123.
[25] 周秀莲.危重新生儿留置针脐静脉插管的应用研究[J].中外医疗,2018,37(13):158-160.
[26] 孟凡艳.前馈控制集合人性化护理对新生儿窒息及神经功能异常观察[J].中国医学创新,2019,16(16):86-89.
[27] 林俊芳,曾坚生,林美玲,等.实施新生儿早期基本保健技术对新生儿结局的影响研究[J].中国医药科学,2019, 9(4):62-64,142. |
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