CAJ | 학술논문

目的比较并分析B超引导下PICC置管与常规肉眼穿刺的效果,以选择更低风险的穿刺方法,减轻患者痛苦,提高护理质量.方法采用回顾性调查进行资料收集,选取我科2008年10月至2009年9月乳腺癌术前及术后置PICC管进行化疗患者167例,按穿刺方法不同分为B超引导下置管组为实验组共58例,常规肉眼穿刺组为对照组共109例,观察并比较两组穿刺后并发症、腋下回折、穿刺次数、深静脉栓塞、穿刺操作用时、换药护理用时.结果两组患者穿刺部位并发症、穿刺次数、穿刺操作用时、换药护理用时比较均有统计学意义(P＜0.01),穿刺后感染的发生率比较有统计学意义(P＜0.05),腋下回折比较无统计学意义(P＞0.05),两组均无机械性静脉炎和深静脉栓塞发生.结论应用B超引导进行PICC置管优于常规肉眼穿刺.
목적 비교병분석B초인도하PICC치관여상규육안천자적효과,이선택경저풍험적천자방법,감경환자통고,제고호리질량.방법 채용회고성조사진행자료수집,선취아과2008년10월지2009년9월유선암술전급술후치PICC관진행화료환자167례,안천자방법불동분위B초인도하치관조위실험조공58례,상규육안천자조위대조조공109례,관찰병비교량조천자후병발증、액하회절、천자차수、심정맥전새、천자조작용시、환약호리용시.결과 량조환자천자부위병발증、천자차수、천자조작용시、환약호리용시비교균유통계학의의(P＜0.01),천자후감염적발생솔비교유통계학의의(P＜0.05),액하회절비교무통계학의의(P＞0.05),량조균무궤계성정맥염화심정맥전새발생.결론 응용B초인도진행PICC치관우우상규육안천자.
Objective To compare the effect of ultrasound-guided peripherally inserted central catheter and ordinary puncture,and to explore an option of low risk,less pain for patients and higher nursing quality.Methods 167 patients who had undergone chemotherapy by PICC before or after breast cancer surgery in our hospital from Oct.2008 to Sep.2009 were retrospectively selected and divided into two groups:experimental group (ultrasound-guided PICC group,58 cases) and control group (routine puncture group,109 cases).Complications of the puncture site,armpit reversal,times of puncture,incidence of venous thrombosis,operation time of puncture and dressing change were compared between the two groups.Results Significant differences were found of complications of the puncture site,times of puncture,operation time of puncture and dressing change (P＜0.01),as well as incidence of infection (P＜0.05).There was no significant difference of armpit reversal between the two groups (P ＞ 0.05).Neither mechanical phlebitis nor venous thrombosis was reported.Conclusions Ultrasound-guided PICC is superior to routine puncture.