Abstract
Purpose: Research on clinical application effect of combining very low birth weight newborn (VLBWN) umbilical vein catheterization (UVC) with peripherally inserted central catheter (PICC). Method: 60 cases of VLBWN checked in our hospital’s ICU are selected and divided into combination group (n = 30) and PICC group (n = 30) according to the random number table. Combination of UVC and PICC is applied on newborn of combination group while only PICC is applied on newborn of PICC group. These two groups’ newborn’s PICC catheterization operation time, PICC indwelling time, weight gain, hospital stays, hospital infection, planned extubation, successful single puncture, adverse events and other indexes are observed. Result: Newborns in combination group have less PICC catheterization operation time and less hospital stays than newborns in PICC group while newborns in combination group have longer PICC indwelling time and greater weight gain than newborns in PICC group. The difference here has statistical significance (p < 0.05). Combination group’s hospital infection ratio (3.33%) is lower than that of PICC group (23.33%). The difference here has statistical significance (p < 0.05). Newborns in combination group have a planned extubation rate of 93.33% and a successful single puncture rate of 93.33%, which are greater than those of newborn in PICC group (respectively 73.33% and 70.00%). The difference here has statistical significance (p < 0.05). Newborns in combination group have an adverse event occurrence rate of 43.33%, lower than that of PICC group (70.00%). The difference here has statistical significance (p < 0.05). Conclusion: Application of combination of UVC and PICC on VLBWN can greatly improve PICC catheterization efficiency and newborn patients’ nutriture and reduce rate of complications, thus, it is worthy of clinical application.
Highlights
Very low birth weight newborn (VLBWN) with mal developed digestive system and multiple complications often have feeding intolerance and need intravenous nutrition to ensure their normal growth
Application of combination of umbilical vein catheterization (UVC) and peripherally inserted central catheter (PICC) on very low birth weight newborn (VLBWN) can greatly improve PICC catheterization efficiency and newborn patients’ nutriture and reduce rate of complications, it is worthy of clinical application
Umbilical vein catheterization (UVC) is an extremely important life path for VLBWN and it can be used in infusion of medicine, venous parenteral nutrition, monitoring central venous pressure and blood exchange
Summary
Very low birth weight newborn (VLBWN) with mal developed digestive system and multiple complications often have feeding intolerance and need intravenous nutrition to ensure their normal growth. Clinical practice proves application of PICC on VLBWN achieves a good result, pure application of PICC has problems of low success rate of puncture, tube plugging and so on, influencing nutrition supply and rescue and dosing. Ye Chunyan et al [2] apply combination of UVC and PICC on VLBWN, and the results show that the combination of the two can shorten the PICC operation time, improve the success rate of one-off PICC puncture and reduce the complication rate. Yu Xinying et al [3] make studies to prove that combination of UVC and PICC on VLBWN can effectively reduce the complication rate. It provides reference for the clinic to study the application effect of combination of UVC and PICC on VLBWN. Our hospital applies combination of UVC and PICC on VLBWN from January 2015 to December 2016, achieving satisfactory effects.
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