Influencing factors of mechanical phlebitis in very/extremely low birth weight infants with peripherally inserted central catheterization
- VernacularTitle:极低/超低出生体质量儿经外周静脉穿刺中心静脉置管过程中发生机械性静脉炎的影响因素分析
- Author:
Xing SUN
1
;
Wei XU
;
Beibei LIU
;
Qinchuan SHI
;
Nan WANG
;
Jiayi XU
Author Information
- Keywords: very low birth weight infants; ultra-low birth weight infants; peripherally inserted central catheterization; mechanical phlebitis; premature infants; pain; risk factors; complication
- From: Journal of Clinical Medicine in Practice 2023;27(23):110-114
- CountryChina
- Language:Chinese
- Abstract: Objective To analyze the influencing factors of mechanical phlebitis(MP)during peripherally inserted central catheterization(PICC)in very/extremely low birth weight infants(VLBWI/ELBWI)in neonatal Intensive Care Unit(NICU).Methods The clinical data of VLBWI/ELBWI who underwent PICC catheterization were retrospectively analyzed.Multivariate Logistic regression model was used to analyze the influencing factors of MP.Results The incidence of MP after implementa-tion of PICC in VLBWI/ELBWI was 26.1％(116/444).Univariate analysis showed that the position of catheter tip,catheter vein,gestational age,body mass at birth,gestational age when cathetering,body mass when cathetering,puncture times and length were influencing factors for MP in VLBWI/ELBWI(P＜0.05).Multivariate Logistic regression analysis showed that abnormal position ofcathe-ter tip(OR=2.526;95％CI,1.532 to 4.164)and puncture times ≥ 2 times(OR=1.952;95％CI,1.017 to 3.747)were independent risk factors.Conclusion The abnormal catheter tip position and the number of puncturing ≥2 times increase the risk of mechanical phlebitis in VLBWI/ELBWI after PICC.Early intervention should be taken as soon as possible to avoid the occurrence of MP so as to relieve infants'pain and improve the quality of clinical care.
