Clinical observation of strictly control the infusion on the intervention of the premature infants' hard swelling and edema

Abstract

Objective To explore the correlation between the infusion volume and infusion method with neonatal hard swelling, edema, looking for the best way to premature infusion. Methods A total of 62 cases of prematrue infants with gestational age ranged from 34 weeks to 36+ 5 weeks, and with weight equal or greater than 2kg were selected as the research objects.Compared different infusion method's efficacy through infusion speed control newborn room nurses on neonatal infusion volume. All the infants were randomly divided into A, B and C groups according to random number table method.Group A: the total volume was controlled, and infusion with conventional speed (5~6 drops a minute). Group B: the speed was controlled by trace injection pump infusion.Group C: the speed was controlled by 24 hours of continuous infusion pump, and then contrast in children with intravenous indwelling needle, the curative effect was observed.Three sets of liquid quantity control methods were for 1~3 days after the total amount (including milk, water and transfusion volume) for 50 ml/kg, 60 ml/kg, 80 ml/kg, 4~7 days 100 ml/kg, according to the daily intake of milk and water quantity adjusting infusion in children with quantity, infusion volume also includes parenteral nutrient solution: amino acids, fat milk, all consumption demand of reference to neonatal parenteral nutrition therapy concentration. Results Group C (in trace injection pump group 24 hours of continuous pumping) got best treatment effect, the degree of edema reduced, the swollen and complications of infusion reduced, the total cost reduced, the average hospitalization time of the child reduced(P<0.05). This method was better than that of Group A (the total control quantity, and speed of conventional infusion (5~6 drops/min) group) and Group B (control trace injection pump infusion speed, liquid input end of the day after the completion of treatment, do not need to 24 hours of continuous pumping group). It is worthy of clinical popularization and application. Conclusions Trace injection pump (in group C group 24 hours of continuous pumping) has best curative effect and the lightest edema and hard swollen complications. Key words: Strictly control the infusion; Intervention in the premature infant complications; Clinical observation