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| Effects of umbilical vein combined with umbilical artery catheterization on the weight gain, complications, adequate feeding, and duration of hospital stay of very low birth weight infants |
| Yuncheng Central Hospital, Yuncheng, Shanxi Province, 044000 |
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Abstract To investigate the effects of umbilical vein combined with umbilical artery catheterization on the weight gain, complications, adequate feeding, and duration of hospital stay of very low birth weight infants. Methods: The clinical data of 106 very low birth weight infants from January 2020 to January 2022 were analyzed retrospectively. These infants were divided into control group and observation group according to different catheterization method, with 53 cases in each group. The infants in the control group were treated with umbilical vein catheterization, and the infants in the observation group were treated with umbilical vein catheterization combined with umbilical artery catheterization. The success rate of puncture, unplanned extubation rate, catheter infection rate, catheter indwelling time, time to adequate feeding, duration of hospital stay, weight gain, and the incidence of complications of the infants were compared between the two groups. Results: There were no significant differences in the rates of puncture success, unplanned extubation, and catheter infection of the infants between the two groups (P>0.05). The time to adequate feeding (9.3±2.8d) and the time of hospital stay (33.0±6.5d) of the infants in the observation group were significantly shorter than those (15.5±4.1d and 39.4±8.2d) of the infants in the control group (P＜0.05). There was no significant difference in the catheter indwelling time of the infants between the two groups (P>0.05). The weight gains of the infants in the observation group in 7 d, 14 d, 21 d, and 28 d after born were 25.3±5.8g, 34.3±8.3g, 40.4±9.4g, and 46.6±12.4g, respectively, which were significantly higher than those (17.7±3.8g, 20.1±6.1g, 21.7±8.2 g, and 30.5±10.7g, respectively) of the infants in the control group (all P＜0.05). There was no significant difference in the incidence of the complications (15.1% vs. 18.9%) of the infants between the two groups (P>0.05). Conclusion: Umbilical vein catheterization combined with umbilical artery catheterization for very low birth weight infants can shorten the time to adequate feeding and the time of hospital stay of these infants, and which can promote the weight gain of these infants.
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