带有或没有骨的新生儿外周静脉管的功能持续时间:一项随机对照试验
Nadella Lakshmi Thushara1,2, Poonam Singh3, Mayank Priyadarshi1
1Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
Indian journal of pediatrics
|August 14, 2023
概括
外周静脉管 (PIVC) 片没有延长功能持续时间或减少新生儿的并发症. 这项研究发现,在这个人群中,有刺和没有刺的PIVC之间没有显著差异.
科学领域:
- 新生儿护理 新生儿护理
- 血管接入装置是指血管接入装置.
- 临床干预措施 临床干预
背景情况:
- 周围静脉注射管 (PIVCs) 对于新生儿护理至关重要.
- 确保PIVC的功能持续时间和安全性对于新生儿至关重要.
- 用来保护PIVC是常见的,但它们在新生儿中的有效性尚未得到充分证实.
研究的目的:
- 研究 splint 应用对新生儿 PIVC 的功能持续时间的影响.
- 评估刺穿是否会影响这种脆弱人群中PIVC相关并发症的发生率.
主要方法:
- 一个随机试验涉及150个PIVC插入在71名新生儿.
- 参与者被分配到一个 splint 或没有 splint 的组.
- 测量了功能持续时间,直到PIVC失败或治疗完成,使用Kaplan-Meier和Cox比例危险模型进行分析.
主要成果:
- PIVCs的中位数功能持续时间在 splint (28小时) 和没有 splint (30小时) 组之间是相似的.
- 两组之间没有观察到PIVC持续时间或并发症率的统计学上显著差异.
- 对终身与早产新生儿和输液类型的子组分析也显示,线没有显著的影响.
结论:
- 的应用不会显著改变新生儿外周静脉管的功能持续时间.
- 在新生儿群体中,使用似乎没有减少与PIVC相关的并发症.
- 目前的证据表明,在新生儿中改善PIVC结果时,线可能不需要.
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