应用心房内心电图辅助PICC导管尖端定位的效果评价-中国护理管理.PDF

特别策划·静脉治疗管理 Special Planning 应用心房内心电图辅助PICC导管尖端 定位的效果评价 姜桂春 [摘 要]  目的：评价心房内心电图辅助PICC导管尖端定位的临床应用效果。 方法：将我院2015年1-9月入院的1000例患者按抽签法随机分为对照组和实验组， 两组均采用常规方法进行导管置入，两组患者在置管结束后均进行X线片定位确定 导管尖端位置，而实验组在置管过程中增加应用心房内心电图辅助技术进行导管尖 端定位，比较两组导管尖端的异位率及导管尖端位于理想位置的比例。结果：实验 2 组导管尖端异位率比对照组低（χ=30.548，P0.001）；不同置管静脉中两组导管尖 端异位率均存在统计学差异（P0.05）；实验组导管尖端位于理想位置的比例高于对 照组（P0.05）。结论：应用心房内心电图辅助PICC导管尖端定位，可有效降低导 管尖端的异位率，在判断导管尖端位于理想位置的灵敏度高。       [关键词]  心电描记术；经外周静脉置入中心静脉导管；尖端定位               [中图分类号]  R47  [DOI]  10.3969/j.issn.1672-1756.2016.06.006 The clinical application of intraatrial electrocardiogram-assisted Peripherally lnserted Central Catheter tip positioning technology / JIANG Guichun // Nursing Department, Liaoning Cancer Hospital Institute, Shenyang, 110042 China /// Chinese Nursing Management-2016,16(6): 743-746 [Abstract] Objective: To explore the clinical application of intraatrial electrocardiogram-assisted Peripherally lnserted Central Catheter (PICC) tip positioning technology. Methods: Totally 1000 hospitalized patients were recruited from January 2015 to September and randomly divided into the control group and the experimental group by random sampling method. The patients in two groups were catheterized using conventional method and the catheter tip position were determined by X-rays, while the experimental group added intra-atrial electrocardiogram assisted PICC tip positioning technology to position catheter tip. We compared the catheter heterotopia rate and the sensitivity of catheter tip located in the superior vena cava between the two groups. Results: The catheter heterotopia rate in