经PICC与经CVC测量中心静脉压值的一致性分析.docVIP

经P I C C与经C V C 测量中心静脉压值的一致性分析 赵洁 柴燕燕( 高云 赵芳 姚嘉丽 曹建琼 曾小平 李红梅 [摘要] 目的：探讨经P I C C与经C V C 测量中心静脉压值的一致性。方法：收集广州市某三甲医院血液科实施PICC及CVC的住院患者62例，分别经P I C C与经C V C 测量中心静脉压测量患者的中心静脉压。应用配对t检验和Bland-Altman分析评价两种途径测得中心静脉压数值的一致性。 结果：配对t检验结果显示，经P I C C与经C V C两种途径测量中心静脉压的结果具有显著性差异 (t=3.855,P=0.000)；Bland-Altman分析表明：经P I C C测得的中心静脉压值高于经C V C测得的中心静脉压值，两种途径测得中心静脉压值一致性界限为（2.024,-1.214）cmH2O；3.23%（2/62）的点在95%的一致性界限以外，在一致性界限范围内，两种途径测量中心静脉压差值的最大绝对值为1.80cmH2O。 结论：经PICC与经CVC测得的中心静脉压值一致性好，PICC是中心静脉压测量的有效方法。 [关键词] 中心静脉导管；外周静脉置入中心静脉导管； 中心静脉压； Bland-Altman分析 Evaluation of consistency of central venous pressure values between peripherally inserted central catheter and central venous catheterization/ZHAO Jie, CHAI Yan-yan, GAO Yun, ZHAO Fang, YAO Jia-li, CAO Jian-qiong, ZENG Xiao-ping, LI Hong-mei//Hematology department, Affiliated Nanfang Hospital of Southern Medical University, Guangzhou 510515, China [Abstract] Objective To explore the consistency of central venous pressure(CVP) values between peripherally inserted central catheter(PICC) and central venous catheterization(CVC). Methods The CVP was measured through PICC and CVC respectively in 62 patients selected from hematology department of AAA hospital in Guangzhou. The clinical consistency of CVP values measured through two different way was respectively evaluated by Bland-Altman analysis and paired-samples t test. Results The paired-samples t test showed that there was statistical difference in CVP values measured through PICC and CVC(t=3.855,P=0.000). Bland-Altman analysis revealed that the CVP values measured through PICC was higher than that measured through CVC, and the limit agreement of the CVP values through two different way was (2.024,-1.214)cmH2O. 4.5%(2/62)of the points were beyond the 95% limits of agreement, and within the 95% limits of agreement the maximum absolute value of the difference of the CVP values through two different way was 1.80cmH2O. Conclusion the consistency of CVP values between PICC and CVC is good