CAJ | 학술논문

目的：探讨经腋静脉置入外周静脉中心静脉导管( PICC)的方法及其对PICC并发症的影响。方法：经腋静脉置入PICC的140例新生儿为观察组，经其他部位置入PICC的139例为对照组。比较2组一次置管成功、送管困难、第一次置管时导管异位及异位纠正成功的发生率。结果：观察组一次穿刺成功率显著高于对照组(P<0.01)；观察组穿刺送管困难发生率明显低于对照组(P<0.01)；2组导管异位发生率差异无统计学意义(P>0.05)；观察组导管异位纠正成功率显著高于对照组(P<0.01)。结论：新生儿经腋静脉置入PICC与其他部位置入PICC相比，能提高一次穿刺及纠正PICC导管异位的成功率，也能降低送管困难的发生率，值得在新生儿PICC置管中推广使用。
목적：탐토경액정맥치입외주정맥중심정맥도관( PICC)적방법급기대PICC병발증적영향。방법：경액정맥치입PICC적140례신생인위관찰조，경기타부위치입PICC적139례위대조조。비교2조일차치관성공、송관곤난、제일차치관시도관이위급이위규정성공적발생솔。결과：관찰조일차천자성공솔현저고우대조조(P<0.01)；관찰조천자송관곤난발생솔명현저우대조조(P<0.01)；2조도관이위발생솔차이무통계학의의(P>0.05)；관찰조도관이위규정성공솔현저고우대조조(P<0.01)。결론：신생인경액정맥치입PICC여기타부위치입PICC상비，능제고일차천자급규정PICC도관이위적성공솔，야능강저송관곤난적발생솔，치득재신생인PICC치관중추엄사용。
Objective:To explorethe means of the peripherally inserted central catheter( PICC) through axillary vein and its effects on complications. Methods:One hundred and forty cases treated with PICC through axillary vein and 139 cases through other location were set as the observation group and control groups,respectively. The success rate of once puncture,delivery problem,ectopic rate in the first time and incidence of ectopic correct in place in two groups were compared. Results:The success rates of once puncture and ectopic correct in place in observation group were significantly higher than those in control group(P <0. 01). The incidence of piercing difficulty in observation group was obviously lower than that in control group(P<0. 01). The difference of the ectopic rate between two groups was not statistically different(P>0. 05). Conclusions:Compared with PICC through other location,the PICC through axillary vein can improve the success rates of once puncture and ectopic correct in place and decrease the incidence of piercing difficulty,which is worth popularizing in neonatal PICC.