探索新生儿的长度,体重,月经后的年龄,以及外围插入的中央导管深度
Debra Armbruster1, Nicole Asdell, Michael Stenger
1Author Affiliations: The Ohio State University Wexner Medical Center, Columbus, Ohio (Drs Armbruster, Asdell, and Stenger, and Ms Alvarado); and Department of Pediatrcs, Section of Neonatology, The Ohio State Unversity Wexner Medical Center, Columbus, Ohie (Drs Armbruster, Asdell, and Stenger, and Mr Alvarado).
概括
新生儿外围插入中心导管 (PICC) 的深度可以通过婴儿的长度,体重或月经后年龄 (PMA) 来估计. 婴儿长度被发现是准确测量新生儿PICC最强的预测因素.
科学领域:
- 新生儿重症监护中心
- 医疗器械技术 医疗器械技术
- 儿科健康 儿科健康
背景情况:
- 周边插入的中央导管 (PICC) 是新生儿护理的标准.
- 目前用于测量新生儿PICC深度的方法可以得到改进.
- 婴儿生物识别,如身高,体重或月经后年龄 (PMA),提供了潜在的替代测量方法.
研究的目的:
- 调查新生儿生物识别 (长度,体重,PMA) 与外围插入中心导管 (PICC) 深度之间的相关性.
- 为了确定新生儿PICC插入深度最准确的生物识别预测器.
主要方法:
- 包括需要在儿童医院安置PICC的住院新生儿.
- 遵循标准的PICC插入程序,并验证了尖端位置.
- 使用多变量线性回归分析来评估PICC深度与婴儿长度,体重和PMA之间的关系.
主要成果:
- 这项研究包括182名新生儿,出生人数不同 (妊娠年龄22-41周,体重450-4160克,长度25.5-54.6厘米).
- 插入PICC的部位包括阴前部,脚和膝盖.
- 婴儿的长度,体重和PMA都与PICC深度 (P < .0001) 有显著的关联,婴儿的长度是最强的预测因素.
结论:
- 婴儿长度提供了一种可靠的替代方法来估计新生儿外围插入中心导管 (PICC) 的深度.
- 根据体重,长度和妊娠年龄对数据进行分层的进一步研究可能会完善新生儿PICC测量的预测模型.
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