超声引导下改良Seldinger技术行PICC置管及传统穿刺置管应用效果比较.pdfVIP

窑临床研究 窑 中国医药导报 2014年9月第 11卷第25期 超声引导下改良Seldinger技术行PICC置管 与传统穿刺置管应用效果比较 王 璇 沈阳医学院附属中心医院重症医学科袁辽宁沈阳 110024 [摘要] 目的比较超声引导下改良Seldinger技术行PICC置管与传统穿刺置管的应用效果遥 方法选择沈阳医学 院附属中心医院2010年6月~2013年 12月门诊或住院需要进行PICC置管的患者280例袁 随机分为两组袁各 140例遥研究组患者采用超声引导下改良Seldinger技术经上臂行PICC置管袁对照组患者采用传统穿刺方法进行 PICC置管遥 观察两组患者一次穿刺成功率尧一次置管成功率尧总置管成功率袁观察贵要静脉使用情况尧置管后导 管末端位置及相关并发症情况遥 结果研究组一次穿刺成功率尧 一次置管成功率及总置管成功率明显高于对照 组 渊99.3%尧97.8%尧99.3%比80.0%尧77.8%尧88.6%冤袁 组间比较差异均有统计学意义 渊字2=6.395尧6.843尧4.283袁P 0.05冤遥两组穿刺静脉及导管末端位置比较差异有统计学意义渊字2=7.209尧4.375袁P0.05冤遥研究组导管留置时间长 于对照组[渊162依20冤d 比渊124依17冤d]袁差异有统计学意义渊t=5.794袁P0.05冤遥研究组静脉炎尧静脉血栓尧周围组织损 伤发生率明显低于对照组渊P0.05冤袁两组穿刺点渗血尧导管相关感染发生率差异无统计学意义渊P 0.05冤遥 结 论超声引导下改良Seldinger技术行PICC置管可有效提高穿刺及置管成功率袁且导管异位及穿刺相关并发症发 生率明显降低袁安全性较高袁值得推广应用遥 [关键词]超声引导曰改良Seldinger技术曰经外周静脉置入中心静脉导管曰静脉穿刺 [中图分类号] R473 [文献标识码]A [文章编号] 1673-7210渊2014冤09渊a冤-0050-05 Effects comparison between ultrasound-guided peripherally inserted cen鄄 tral catheterundermodified Seldingertechnique andtraditional PICC WANGXuan Department of Intensive Medicine, Central Hospital Affiliated to Shenyang Medical College, Liaoning Province, Shenyang 110024,China [Abstract] Objective To compare the effect of ultrasound-guided peripherally inserted central catheter (PICC) under modified Seldinger technique and traditional PICC. Methods 280 cases of outpatients and inpatients required PICC in Central Hospital Affiliated to Shenyang Medical Collegefrom June 2010 to December 2013were randomly divided into two groups, each of 140cases. Patients of study group were given ultrasound-guided PICC on upper arm under modi鄄 fied Seldinger technique, and patients in control group were given traditional PICC. One time puncture success rate, one