CAJ | 학술논문

目的：探讨改良塞丁格技术与传统经外周静脉穿刺中心静脉置管(PICC)在化疗患者中的应用效果。方法选择92例化疗患者作为研究对象，根据其在化疗过程中选择的置管方式不同分为改良组和常规组，各46例，改良组患者采用浅静脉引导的改良塞丁格技术穿刺置管，常规组采用传统盲穿PICC 置管法。比较两组患者的一次穿刺成功率、一次置管成功率以及不良反应的发生率。结果改良组患者的一次穿刺成功率、一次置管成功率以及不良反应发生率等指标均显著优于常规组患者，比较差异有统计学意义(P<0.05)。结论在没有购置 PICC 置管专用 B 超机的情况下，采用改良塞丁格技术行PICC 置管的方法，不仅一次穿刺成功率和一次置管成功率显著提高，且安全性好，值得临床推广应用。
목적：탐토개량새정격기술여전통경외주정맥천자중심정맥치관(PICC)재화료환자중적응용효과。방법선택92례화료환자작위연구대상，근거기재화료과정중선택적치관방식불동분위개량조화상규조，각46례，개량조환자채용천정맥인도적개량새정격기술천자치관，상규조채용전통맹천PICC 치관법。비교량조환자적일차천자성공솔、일차치관성공솔이급불량반응적발생솔。결과개량조환자적일차천자성공솔、일차치관성공솔이급불량반응발생솔등지표균현저우우상규조환자，비교차이유통계학의의(P<0.05)。결론재몰유구치 PICC 치관전용 B 초궤적정황하，채용개량새정격기술행PICC 치관적방법，불부일차천자성공솔화일차치관성공솔현저제고，차안전성호，치득림상추엄응용。
Objective To investigate the application effects of modified Seldinger technique and traditional peripherally inserted central catheter (PICC) in chemotherapy patients. Methods There were 92 patients under chemotherapy as study subjects, and they were divided by different catheterization methods into modified group and conventional group. The modified group received superficial vein-guided modified Seldinger technique, and the conventional group received traditional PICC. The first puncture success rate, first catheterization success rate and incidence of adverse reactions were compared between the two groups. Results The modified group had obviously better first puncture success rate, first catheterization success rate and incidence of adverse reactions than the conventional group, and their difference had statistical significance (P<0.05). Conclusion In the absence B ultrasound machine for PICC catheterization, implement of modified Seldinger technique for PICC catheterization can provide high first puncture success rate and first catheterization success rate with good safety. This method is worthy of clinical promotion and application.