中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2014年
3期
187-190
,共4页
塞丁格技术%超声检查%经外周静脉置入中心静脉导管%化疗%乳腺癌
塞丁格技術%超聲檢查%經外週靜脈置入中心靜脈導管%化療%乳腺癌
새정격기술%초성검사%경외주정맥치입중심정맥도관%화료%유선암
Seldinger technique%Vascular ultrasonography%Peripherally inserted central catheter%Chemotherapy%Breast cancer
目的 探讨改良塞丁格技术联合血管超声在乳腺癌患者术后化疗经外周静脉置入中心静脉导管(PICC)置管中的临床效果.方法 将接受术后化疗乳腺癌患者120例按照随机数字表法分为观察组和对照组各60例,观察组采用改良塞丁格技术联合血管超声PICC置管,对照组采用传统盲穿PICC置管,比较两组患者一次穿刺成功率、一次置管成功率、置管后机械性静脉炎及静脉血栓的发生率.结果 观察组一次穿刺成功率、一次置管成功率、置管后机械性静脉炎发生率分别为91.67％、100％和3.33％,对照组一次穿刺成功率、一次置管成功率、置管后机械性静脉炎发生率分别为76.67％、86.67％和45％,两组比较差异均有统计学意义(P=0.0061,P=0.0434,P＜0.0001).观察组置管后静脉血栓发生率为0,对照组置管后静脉血栓发生率为6.67％,两组比较差异无统计学意义(P =0.1187).结论 将改良塞丁格技术联合血管超声PICC置管应用于乳腺癌患者术后化疗置管成功率高,置管后机械性静脉炎发生率低,具有较高的临床应用价值.
目的 探討改良塞丁格技術聯閤血管超聲在乳腺癌患者術後化療經外週靜脈置入中心靜脈導管(PICC)置管中的臨床效果.方法 將接受術後化療乳腺癌患者120例按照隨機數字錶法分為觀察組和對照組各60例,觀察組採用改良塞丁格技術聯閤血管超聲PICC置管,對照組採用傳統盲穿PICC置管,比較兩組患者一次穿刺成功率、一次置管成功率、置管後機械性靜脈炎及靜脈血栓的髮生率.結果 觀察組一次穿刺成功率、一次置管成功率、置管後機械性靜脈炎髮生率分彆為91.67％、100％和3.33％,對照組一次穿刺成功率、一次置管成功率、置管後機械性靜脈炎髮生率分彆為76.67％、86.67％和45％,兩組比較差異均有統計學意義(P=0.0061,P=0.0434,P＜0.0001).觀察組置管後靜脈血栓髮生率為0,對照組置管後靜脈血栓髮生率為6.67％,兩組比較差異無統計學意義(P =0.1187).結論 將改良塞丁格技術聯閤血管超聲PICC置管應用于乳腺癌患者術後化療置管成功率高,置管後機械性靜脈炎髮生率低,具有較高的臨床應用價值.
목적 탐토개량새정격기술연합혈관초성재유선암환자술후화료경외주정맥치입중심정맥도관(PICC)치관중적림상효과.방법 장접수술후화료유선암환자120례안조수궤수자표법분위관찰조화대조조각60례,관찰조채용개량새정격기술연합혈관초성PICC치관,대조조채용전통맹천PICC치관,비교량조환자일차천자성공솔、일차치관성공솔、치관후궤계성정맥염급정맥혈전적발생솔.결과 관찰조일차천자성공솔、일차치관성공솔、치관후궤계성정맥염발생솔분별위91.67％、100％화3.33％,대조조일차천자성공솔、일차치관성공솔、치관후궤계성정맥염발생솔분별위76.67％、86.67％화45％,량조비교차이균유통계학의의(P=0.0061,P=0.0434,P＜0.0001).관찰조치관후정맥혈전발생솔위0,대조조치관후정맥혈전발생솔위6.67％,량조비교차이무통계학의의(P =0.1187).결론 장개량새정격기술연합혈관초성PICC치관응용우유선암환자술후화료치관성공솔고,치관후궤계성정맥염발생솔저,구유교고적림상응용개치.
Objective To investigate the role of modified Seldinger technique combined with vascular ultrasonography in the placement of peripherally inserted central catheters (PICC) in patients with breast cancer undergoing postoperative chemotherapy.Methods Totally 120 patients with breast cancer undergoing postoperative chemotherapy were equally divided into the observation group and the control group using the table of random number.In the observation group,PICC were placed using the modified Seldinger technique combined with vascular ultrasonography; in the control group,the PICC were placed using the traditional blind puncture technique.The success rate of first puncture,success rate of first placement,and the incidences of mechanical phlebitis and thrombosis were compared between two groups.Results The success rate of first puncture,success rate of first placement,and the incidences of mechanical phlebitis were 91.67％,100％,and 3.33％,respectively,in the observation group and 76.67％,86.67％,and 45％,respectively,in the control group (P =0.0061,P =0.0434,and P ＜ 0.0001).However,no significant difference was found on the incidence of thrombosis between the two groups (P =0.1187).Conclusion Modified Seldinger technique combined with vascular ultrasonography is efficient and safe for PICC placement for patients with breast cancer undergoing postoperative chemotherapy.
