临床医药文献电子杂志
臨床醫藥文獻電子雜誌
림상의약문헌전자잡지
Journal of Clinical Medical Literature (ElectronicEdition)
2015年
22期
4530-4530,4532
,共2页
超声定位%静脉穿刺困难%改良塞丁格技术改进%应用探讨
超聲定位%靜脈穿刺睏難%改良塞丁格技術改進%應用探討
초성정위%정맥천자곤난%개량새정격기술개진%응용탐토
Ultrasonic localization%Venipuncture dififculty%Modiifed Seldinger Technique%Practical investigation
目的:探讨超声定位加改进后的改良塞丁格技术在经外周静脉置入中心静脉导管(Peripherally Inserted Central Catheter,PICC)中的临床应用效果。方法选取2012年6月~2015年3月我院置入PICC的患者187例,将超声定位并改进后PICC置管术98例设为观察组;传统PICC置入法89例设为对照组,分析两组穿刺成功率和并发症发生率。结果观察组一次穿刺成功率明显高于对照组,相关并发症包括:穿刺处渗血、肢体肿胀、机械性静脉炎、血栓、导管感染发生率显著降低。结论 B超定位加改良塞丁格技术并改进后行PICC置管是一种实用、安全、成功率高的置管方法,对躁动、静脉条件差的患者更显其优势。
目的:探討超聲定位加改進後的改良塞丁格技術在經外週靜脈置入中心靜脈導管(Peripherally Inserted Central Catheter,PICC)中的臨床應用效果。方法選取2012年6月~2015年3月我院置入PICC的患者187例,將超聲定位併改進後PICC置管術98例設為觀察組;傳統PICC置入法89例設為對照組,分析兩組穿刺成功率和併髮癥髮生率。結果觀察組一次穿刺成功率明顯高于對照組,相關併髮癥包括:穿刺處滲血、肢體腫脹、機械性靜脈炎、血栓、導管感染髮生率顯著降低。結論 B超定位加改良塞丁格技術併改進後行PICC置管是一種實用、安全、成功率高的置管方法,對躁動、靜脈條件差的患者更顯其優勢。
목적:탐토초성정위가개진후적개량새정격기술재경외주정맥치입중심정맥도관(Peripherally Inserted Central Catheter,PICC)중적림상응용효과。방법선취2012년6월~2015년3월아원치입PICC적환자187례,장초성정위병개진후PICC치관술98례설위관찰조;전통PICC치입법89례설위대조조,분석량조천자성공솔화병발증발생솔。결과관찰조일차천자성공솔명현고우대조조,상관병발증포괄:천자처삼혈、지체종창、궤계성정맥염、혈전、도관감염발생솔현저강저。결론 B초정위가개량새정격기술병개진후행PICC치관시일충실용、안전、성공솔고적치관방법,대조동、정맥조건차적환자경현기우세。
ObjectiveInvestigate the clinical effect of ultrasonic localization and modified Seldinger Technique in Peripherally Inserted Central Catheter (PICC).Methods187 cases of intubation patients were chosen from June 2012 to March 2015 in our hospital. Deifne the 98 cases of modiifed PICC companied with ultrasonic localization as the observed group (OG), while deifne another 89 cases of traditional PICC as the control group (CG). Analyze the success rate and the complication incidence rate of the PICC from both the two groups.ResultsThe success rate for once puncture of the OG was obviously higher than that of the CG. Moreover, the complication incidence (including errhysis in puncture sites, limb swelling, mechanical phlebitis, thrombus, catheter infection) rate of the OG decreased signiifcantly.ConclusionPICC integrated with B-ultrasonic localization and modiifed Seldinger Technique is a practical and safe catheter indwelling method with high success rate, and shows greater advantages towards patients with restlessness or poor venous condition.