中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2011年
6期
417-421
,共5页
经外周静脉置入中心静脉导管%中心静脉置管%外科营养
經外週靜脈置入中心靜脈導管%中心靜脈置管%外科營養
경외주정맥치입중심정맥도관%중심정맥치관%외과영양
Peripherally inserted central venous catheter%Central venous catheter%Surgical nutrition
目的 探讨经外周静脉置入中心静脉导管( PICC)与中心静脉置管(CVC)在外科肠外营养中的应用.方法 回顾性分析PICC与CVC的置管用时、置管成功率、导管留置时间、穿刺异常及不良反应.结果 CVC组置管操作平均时间(28.67±5.13) min短于PICC组的(45.20±6.89) min (P=0.035)；PICC组平均导管留置时间(114.85±10.29)d长于CVC组的(24.78±8.42)d(P=0.033)；PICC组与CVC组的置管成功率比较差异无统计学意义(P＞0.05)；PICC组优于CVC组的并发症有5项,而CVC组优于PICC组的并发症仅为静脉炎.结论 对于长期营养(＞4周)的患者提倡使用PICC,护理管理者应着眼于PICC技术的培训与发展；而CVC具有置管操作时间短、流速快的优点,更适合于重症急诊患者的抢救治疗.
目的 探討經外週靜脈置入中心靜脈導管( PICC)與中心靜脈置管(CVC)在外科腸外營養中的應用.方法 迴顧性分析PICC與CVC的置管用時、置管成功率、導管留置時間、穿刺異常及不良反應.結果 CVC組置管操作平均時間(28.67±5.13) min短于PICC組的(45.20±6.89) min (P=0.035)；PICC組平均導管留置時間(114.85±10.29)d長于CVC組的(24.78±8.42)d(P=0.033)；PICC組與CVC組的置管成功率比較差異無統計學意義(P＞0.05)；PICC組優于CVC組的併髮癥有5項,而CVC組優于PICC組的併髮癥僅為靜脈炎.結論 對于長期營養(＞4週)的患者提倡使用PICC,護理管理者應著眼于PICC技術的培訓與髮展；而CVC具有置管操作時間短、流速快的優點,更適閤于重癥急診患者的搶救治療.
목적 탐토경외주정맥치입중심정맥도관( PICC)여중심정맥치관(CVC)재외과장외영양중적응용.방법 회고성분석PICC여CVC적치관용시、치관성공솔、도관류치시간、천자이상급불량반응.결과 CVC조치관조작평균시간(28.67±5.13) min단우PICC조적(45.20±6.89) min (P=0.035)；PICC조평균도관류치시간(114.85±10.29)d장우CVC조적(24.78±8.42)d(P=0.033)；PICC조여CVC조적치관성공솔비교차이무통계학의의(P＞0.05)；PICC조우우CVC조적병발증유5항,이CVC조우우PICC조적병발증부위정맥염.결론 대우장기영양(＞4주)적환자제창사용PICC,호리관리자응착안우PICC기술적배훈여발전；이CVC구유치관조작시간단、류속쾌적우점,경괄합우중증급진환자적창구치료.
Objective To explore the application of peripherally inserted central venous catheter (PICC)and central venous catheter (CVC) in the surgical parenteral nutrition.Method The operation time,success rate,indwelling duration,abnormal biopsy,and adverse reactions of PICC and CVC were retrospectively compared.Results CVC had significantly shorter operation time than PICC groups [ (28.67 ±5.13) min vs.(45.20 ±6.89)min,P =0.035 ).The mean indwelling duration was significantly longer in PICC group than in CVC group [ ( 114.85 ± 10.29) d vs.(24.78 ± 8.42) d,P =0.033 ].PICC group was superior to CVC group in terms of five complication items,while only phlebitis was more frequent/severe in CVC group.Conclusions PICC may be more suitable for long-term ( ＞4 weeks) catheter-based nutrition.CVC has short operation time and fast flow rate,and therefore is most suitable for rescue treatment for critically ill patients.
