CAJ | 학술논문

目的：比较肘关节以上贵要静脉、头静脉应用血管超声配合改良塞丁格技术置入 PICC 的效果。方法选择60例需置管的患者，其中贵要静脉组30例，头静脉组30例，2组分别统计导管末端位置和静脉炎、血栓、感染的发生率。结果头静脉组异位率达7．5％，贵要静脉组无异位（P ＜0．01）；头静脉组静脉炎发生率10％，贵要静脉组无静脉炎发生（P ＜0．01）；头静脉组感染率3．3％，贵要静脉组无感染（P ＜0．01）；头静脉组无血栓发生，贵要静脉组血栓发生率10％（P ＜0．01）。结论肘关节以上应用血管超声配合改良塞丁格技术置入 PICC 的贵要静脉1次植入成功率、静脉炎、感染发生率较低，血栓几率较高，头静脉则相反，提醒临床应根据患者情况选择合理血管穿刺。
목적：비교주관절이상귀요정맥、두정맥응용혈관초성배합개량새정격기술치입 PICC 적효과。방법선택60례수치관적환자，기중귀요정맥조30례，두정맥조30례，2조분별통계도관말단위치화정맥염、혈전、감염적발생솔。결과두정맥조이위솔체7．5％，귀요정맥조무이위（P ＜0．01）；두정맥조정맥염발생솔10％，귀요정맥조무정맥염발생（P ＜0．01）；두정맥조감염솔3．3％，귀요정맥조무감염（P ＜0．01）；두정맥조무혈전발생，귀요정맥조혈전발생솔10％（P ＜0．01）。결론주관절이상응용혈관초성배합개량새정격기술치입 PICC 적귀요정맥1차식입성공솔、정맥염、감염발생솔교저，혈전궤솔교고，두정맥칙상반，제성림상응근거환자정황선택합리혈관천자。
ABSTRACT:Objective To compared the effect of ultrasound combined with PICC implanta-tion of modified seldinger technique in cephalic vein and basilic vein above the elbow.Methods To-tally 60 patients were divided into basilic vein group with 30 cases and cephalic vein group with 30 cases.The incidence of thrombosis,inflammation and infection in intravenous of the two groups were statistical recorded.Results Ectopic rate of cephalic vein group reached 7.5% while the basilic vein group didn′t occurred ectopic rate(P <0.01).Phlebitis incidence in the cephalic vein group was 10% while there was no occurrence in the basilic vein group (P <0.01).The infection rate in the cephalic vein group was 3.3% while no infection occurred in the basilic vein group(P <0.01).The incidence of thrombosis in the basilic vein group was 10% while no thrombosis hap-pened in the cephalic vein group(P <0.01).Conclusion The one-time success rate of catheteri-zation,phlebitis and infection are lower of ultrasound combined with PICC implantation of modified seldinger technique in basilic vein above the elbow,but thrombosis rate is higher,cephalic vein is the opposite.Reasonable vascular puncture should be chosen in clinic.