| 摘要: |
| ［摘要］目的 探讨新生儿腋静脉留置针穿刺应用效果．方法 将云南省第三人民医院儿科2015年9月至2016年2月采用静脉留置针穿刺输液新生儿180例，随机选择90例作为实验组，采用腋静脉留置针穿刺输液，90例作为对照组，采用四肢静脉穿刺输液．比较2组的应用效果．结果 实验组与对照组在留置针脱落、静脉炎、药物外渗、留置时间等方面进行对比，差异有统计学意义（P＜0.05）．结论 新生儿留置针穿刺输液过程中，采用腋静脉留置针穿刺输液能防止留置针脱落、减少静脉炎的发生及降低药物外渗的发生率，并且可以延长留置时间．该穿刺操作简便易行、易学、无需特殊的设施设备，经济实用，纸胶布，适宜在新生儿病房推广应用. |
| 关键词: ［关键词］ 腋静脉 留置针穿刺 应用效果 |
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| 基金项目:［基金项目］云南省教育厅科研基金资助项目（2014Z129）；同济十院医疗集团护理科研项目（tjjt201405） |
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| Effect of Neonatal Axillary Vein Indwelling Needle Puncture |
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ZHOU Yu-e
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（Dept. of Pediatrics，The Third People’s Hospital of Yunnan Province，Kunming Yunnan 650011，China）
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| Abstract: |
| ［Abstract］Objective To investigate the application effect of indwelling needle puncture in the axillary vein of newborn infants. Methods From September 2015 to February 2016， the venous indwelling needle puncture was given for neonatal transfusion 180 cases， including 90 cases of the axillary vein indwelling needle infusion in the experimental group， and 90 cases of puncture of extremity vein infusion in the control group. The application effect of the 2 groups was compared. Results There were significant differences in terms of indwelling needle shedding， phlebitis，drug extravasation， lien time between the experimental group and the control group （P < 0.05） . Conclusions During neonatal indwelling needle puncture infusion process，the axillary vein indwelling needle infusion can prevent the indwelling needle shedding， decrease the incidence of phlebitis and reduce the incidence of drug extravasation，and can prolong the indwelling time. Puncture in the simple operation easy， is easy to learn and no need for special facilities and equipment，only conventional intravenous infusion required material，plus 24g indwelling needle，aseptic transparent dressing，paper tape，economical and practical，suitable for application in neonatal ward. |
| Key words: ［Key words］Axillary vein Indwelling needle puncture Application effect |