The application effect of PICC through axillary vein puncture in very low birth weight infants

Objective:To explore the application effects of peripherally inserted central catheter(PICC) via the axillary vein in very low birth weight infants.Methods:Ninety very low birth weight infants were randomly divided into the observation group and control group(45 cases each group).The observation group and control group were treated with PICC via axillary vein and PICC via elbow vein,respectively.The puncture time,tube feeding time,catheter tip positive rate,retention time and catheter related complications between two groups were compared.Results:The puncture time,tube feeding time,catheter tip positive rate and retention time in observation group were (1 229.16±209.63)s,(51.35±126.38)s,86.67% and (24.16±11.81)d,respectively.The PICC plugging in 7 cases,12.00% of catheter tip culture positive rate and tube detachment in 1 case were found in observation group.The puncture time,tube feeding time,catheter tip positive rate and retention time in control group were (1 447.31±426.70)s,(95.71±115.41)s,86.67% and (23.76±15.41)d,respectively.The phlebitis in 3 cases,PICC plugging in 8 cases and 21.74%% of catheter tip culture positive rate were found in control group.The puncture time in observation group was less than that in control group(P<0.01).The differences of tube feeding time,catheter tip positive rate,retention time and catheter related complications between two groups were not statistically significant(P>0.05).Conclusions:In addition to the elbow vein,the axillary vein can also be used as the PICC puncture site in very low birth weight infants.