实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
8期
23-25
,共3页
高龄%阿尔兹海默症%US 和 MST%PICC%盲穿
高齡%阿爾玆海默癥%US 和 MST%PICC%盲穿
고령%아이자해묵증%US 화 MST%PICC%맹천
the elderly%Alzheimer’s disease%US and MST%PICC%cnventional punc-ture
目的：比较高龄阿尔兹海默症（AD）患者应用血管超声（US）引导配合改良塞丁格技术（MST）置入 PICC 与非US 引导应用导管内含14G 穿刺针置入 PICC（盲穿）的应用效果。方法选择高龄阿尔兹海默症患者60例，其中 US 和 MST置入组30例，盲穿组30例，分别统计2组1次置管成功率、导管留置时间和导管留置期间并发症发生率。结果 US 联合MST 组导管留置7～12个月者22例，超过12个月者8例；盲穿组导管留置1～3个月者1例，4～6个月者11例，7～12个月者7例，超过12个月者1例，2组差异有统计学意义（P ＜0．05）。US 和 MST 组1次置管成功率96．7％，盲穿组为53．3％，差异有统计学意义（P ＜0．05）。US 和 MST 置入组留置期间并发症发生率6．7％，盲穿组为50．0％，差异有统计学意义（P＜0．05）。结论高龄患者应用 US 配合 MST 置入 PICC 较盲穿法成功率高、配合程度高、并发症发生率低，值得临床推广。
目的：比較高齡阿爾玆海默癥（AD）患者應用血管超聲（US）引導配閤改良塞丁格技術（MST）置入 PICC 與非US 引導應用導管內含14G 穿刺針置入 PICC（盲穿）的應用效果。方法選擇高齡阿爾玆海默癥患者60例，其中 US 和 MST置入組30例，盲穿組30例，分彆統計2組1次置管成功率、導管留置時間和導管留置期間併髮癥髮生率。結果 US 聯閤MST 組導管留置7～12箇月者22例，超過12箇月者8例；盲穿組導管留置1～3箇月者1例，4～6箇月者11例，7～12箇月者7例，超過12箇月者1例，2組差異有統計學意義（P ＜0．05）。US 和 MST 組1次置管成功率96．7％，盲穿組為53．3％，差異有統計學意義（P ＜0．05）。US 和 MST 置入組留置期間併髮癥髮生率6．7％，盲穿組為50．0％，差異有統計學意義（P＜0．05）。結論高齡患者應用 US 配閤 MST 置入 PICC 較盲穿法成功率高、配閤程度高、併髮癥髮生率低，值得臨床推廣。
목적：비교고령아이자해묵증（AD）환자응용혈관초성（US）인도배합개량새정격기술（MST）치입 PICC 여비US 인도응용도관내함14G 천자침치입 PICC（맹천）적응용효과。방법선택고령아이자해묵증환자60례，기중 US 화 MST치입조30례，맹천조30례，분별통계2조1차치관성공솔、도관류치시간화도관류치기간병발증발생솔。결과 US 연합MST 조도관류치7～12개월자22례，초과12개월자8례；맹천조도관류치1～3개월자1례，4～6개월자11례，7～12개월자7례，초과12개월자1례，2조차이유통계학의의（P ＜0．05）。US 화 MST 조1차치관성공솔96．7％，맹천조위53．3％，차이유통계학의의（P ＜0．05）。US 화 MST 치입조류치기간병발증발생솔6．7％，맹천조위50．0％，차이유통계학의의（P＜0．05）。결론고령환자응용 US 배합 MST 치입 PICC 교맹천법성공솔고、배합정도고、병발증발생솔저，치득림상추엄。
Objective To compare the effect of modified seldinger technique under the guidance of ultrasound for PICC inserttion with the traditional method of PICC catheterization(14 G needle insertion of PICC)in elderly patients with Alzheimer’s disease.Methods 60 patients with AD were divided into observation group applying PICC insertion with US and MST and con-trol group with traditional method of PICC catheterization with 30 patients in each group.The suc-cess rates of the only one puncture,catheter indwelling time and the incidence of complications dur-ing catheter indwelling were compared between the two groups.Results There were 22 patients with 7 to 12 months catheter indwelling time and 8 patients with more than 12 months in observa-tion group.There was 1 patient for 1 to 3 months catheter indwelling time,11 patients for 4 to 6 months,7 patients for 7 to 12 months and 1 patient for more than 12 months in control group.Ac-cording to the results,the difference was statistically significant(P <0.05).The successful rate of the only one puncture in observation group was 96.7% while only 53.3% in control group.So the difference was statistically significant(P <0.05).The incidence of complications during catheter indwelling was 6.7% in observation group and 50% in control group.Thus,the difference was statistically significant(P <0.05).Conclusion The PICC catheterization with modified seldinger technique under the guidance of vascular ultrasound has higher successful rate and less incidence of complications.So it is worthy of widely application.
