超声引导下改良塞丁格穿刺PICC置管术的的疗效观察.docVIP

超声引导下改良塞丁格穿刺PICC置管术的的疗效观察 　　【摘要】 目的：分析研究超声引导下改良塞丁格穿刺技术行PICC置管术的临床应用价值。方法：选取2013年12月-2015年12月在本院住院的80例患者，按照随机数字表法分为观察组和对照组，每组40例。对照组患者采取传统PICC盲穿术，观察组患者在超声引导下行改良塞丁格穿刺PICC置管术，对两组患者的临床效果进行对比分析。结果：观察组患者的置管成功率明显高于对照组（P0.05），导管异位率明显低于对照组（P0.05）；观察组患者置管第2天穿刺点渗血和疼痛发生率均明显低于对照组（P0.05）；观察组患者并发症发生率明显低于对照组（P0.05）。结论：采取超声引导下改良塞丁格技术穿刺PICC置管术，能明显提高一次性置管成功率，减少相关并发症的发生。 　　【关键词】 超声引导； 改良塞丁格穿刺技术； PICC置管 　　【Abstract】 Objective：To analyze the clinical application value of PICC catheterrization by improving Piercing technology of Seldinger under guide of ultrasonic.Method：From Dec 2013 to Dec 2015 80 patients hospitalized in our hospital were randomly divided into the observation group and the control group，40 cases in each group.The control group of PICC for patients to taked traditional blind wear，the observation group of patients taked in modified plug dingle ultrasound guided puncture the means of inserted PICC tube，the clinical effects of two groups were compared.Result：The success rate of catheter in patients of the observation group was obviously higher than that of the control group （P0.05）， catheter heterotopia rate was significantly lower than that of the control group（P0.05）.The observation group of patients with catheter puncture point 2 day ooze blood and pain incidenced were significantly lower than those of the control group（P0.05）.The complication rate of the observation group was significantly lower than that of the control group （P0.05）.Conclusion： Ultrasound guided by improved plug dingell technical the means of inserting PICC tube，can obviously increase the one-time success rate of catheter，reduce the related complications. 　　【Key words】 Guide by ultrasound； Improving Piercing technology of Seldinger； PICC cathetering 　　First-author’s address：The Fifth People’s Hospital of Shangrao City，Shangrao 334000，China 　　doi：10.3969/j.issn.1674-4985.2016.21.025 　　经外周静脉置入中心静脉导管（peripherallyinserted central catheter，PICC）是指由外周静脉穿刺插管，并使导管尖端定位于上腔静脉或下腔静脉的一种置管方法[1]。PICC操作简单、留置时问