Objective:To explore the clinical application of umbilical vein central venous catheter in the treatment of preterm infants with low birth weight. Methods:One hundred and thirty-three cases of catheter through umbilical vein center were selected as umbilical vein group, and 83 cases of infants who underwent peripherally inserted central venous catheter were regarded as peripheral vein group. The rates of catheter and complication of the two groups were observed. Results:(1) The central venous catheter placement success rate was 72.18% in the umbilical vein group and 72.29% in the peripheral vein group, there was no statistically significant difference between the two groups (P=0.99).(2) The exudation rate, bacterial colonization rate, exit site infection rate were 50.00%, 14.91% and 0 in umbilical vein group respectively and 20.48%, 1.64%, 12.05% in peripheral vein group respectively, there was no statistically significant difference between the two groups (P=0, 0.01, 0).The rate of unplanned intubation, catheter-related blood stream infection, the cholestasis and necrotizing enteritis were 20.00%, 6.15%, 6.15%, 2.31% in umbilical vein group respectively and 14.81%, 6.02%, 6.02%, 3.28% in peripheral vein group respectively, there were no significant difference between the two groups (P=0.34, 1.00, 1.00, 0.94).(3) The age and duration of indwelling catheter in umbilical vein group were (12.76±9.12) h, (12.20±6.32) d respectively and (11.18±6.11) h, (22.58±13.57) d in the peripheral vein group respectively. Conclusion:The success rate is similar between umbilical vein central venous catheterization and peripherally inserted central catheterization. However, umbilical vein central venous catheterization is easy to operate and it is more beneficial to premature birth weight infants in early stage. |
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