中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
12期
144-147
,共4页
经外周静脉置入中心静脉导管%超声引导下穿刺法%穿刺成功率%并发症%舒适度的影响
經外週靜脈置入中心靜脈導管%超聲引導下穿刺法%穿刺成功率%併髮癥%舒適度的影響
경외주정맥치입중심정맥도관%초성인도하천자법%천자성공솔%병발증%서괄도적영향
Peripherally inserted central venous catheter%Ultrasound guided puncture%Puncture%Complication%Affecting comfort
目的：通过比较两种经外周静脉置入中心静脉导管的穿刺成功率、并发症发生率、舒适度的影响，为合理选择穿刺方法提供依据。方法选取2013年9月～2014年8月因化疗需行PICC置管的患者120例，分为观察组和对照组，对照组采用传统方法置管，观察组给予超声引导下结合改良赛丁格技术穿刺法置管。观察两组患者的置管成功率，置管操作、留置时间，并发症发生率及患者舒适情况。结果观察组患者的一次置管成功率为81.67％，明显高于对照组的43.33％，两组比较差异有统计学意义（P＜0.05）。观察组的置管操作时间低于对照组，导管留置时间比对照组明显加长，两组比较差异有统计学意义（P＜0.05）。观察组使用过程中并发症发生率为6.67％，明显低于对照组的23.33％，两组比较差异有统计学意义（ P ＜0.05）。观察组患者的总舒适率为95.00％，明显高于对照组的85.00％，两组比较差异有统计学意义（P＜0.05）。结论超声引导下穿刺术置管成功率高、并发症少，可增加患者的舒适度，但传统的穿刺方法对血管条件好的患者仍然是最适宜的选择。
目的：通過比較兩種經外週靜脈置入中心靜脈導管的穿刺成功率、併髮癥髮生率、舒適度的影響，為閤理選擇穿刺方法提供依據。方法選取2013年9月～2014年8月因化療需行PICC置管的患者120例，分為觀察組和對照組，對照組採用傳統方法置管，觀察組給予超聲引導下結閤改良賽丁格技術穿刺法置管。觀察兩組患者的置管成功率，置管操作、留置時間，併髮癥髮生率及患者舒適情況。結果觀察組患者的一次置管成功率為81.67％，明顯高于對照組的43.33％，兩組比較差異有統計學意義（P＜0.05）。觀察組的置管操作時間低于對照組，導管留置時間比對照組明顯加長，兩組比較差異有統計學意義（P＜0.05）。觀察組使用過程中併髮癥髮生率為6.67％，明顯低于對照組的23.33％，兩組比較差異有統計學意義（ P ＜0.05）。觀察組患者的總舒適率為95.00％，明顯高于對照組的85.00％，兩組比較差異有統計學意義（P＜0.05）。結論超聲引導下穿刺術置管成功率高、併髮癥少，可增加患者的舒適度，但傳統的穿刺方法對血管條件好的患者仍然是最適宜的選擇。
목적：통과비교량충경외주정맥치입중심정맥도관적천자성공솔、병발증발생솔、서괄도적영향，위합리선택천자방법제공의거。방법선취2013년9월～2014년8월인화료수행PICC치관적환자120례，분위관찰조화대조조，대조조채용전통방법치관，관찰조급여초성인도하결합개량새정격기술천자법치관。관찰량조환자적치관성공솔，치관조작、류치시간，병발증발생솔급환자서괄정황。결과관찰조환자적일차치관성공솔위81.67％，명현고우대조조적43.33％，량조비교차이유통계학의의（P＜0.05）。관찰조적치관조작시간저우대조조，도관류치시간비대조조명현가장，량조비교차이유통계학의의（P＜0.05）。관찰조사용과정중병발증발생솔위6.67％，명현저우대조조적23.33％，량조비교차이유통계학의의（ P ＜0.05）。관찰조환자적총서괄솔위95.00％，명현고우대조조적85.00％，량조비교차이유통계학의의（P＜0.05）。결론초성인도하천자술치관성공솔고、병발증소，가증가환자적서괄도，단전통적천자방법대혈관조건호적환자잉연시최괄의적선택。
ObjectiveTo provide basis for reasonable selection of puncture method, through the comparison of two ways by peripheral vein inserted central venous catheter (PICC) puncture success rate, complication rate, comfort effect. Methods120 cases from September 2013 to August 2014 due to chemotherapy needed for PICC tube in our hospital were collected, and were divided into observation group and control group, 60 cases in each, the control group was treated with traditional drainage catheter, the observation group treated with ultrasound guided under combined with modified Seldinger puncture technique method of catheter. Two groups of patients with the success rate of catheterization, catheter operation, indwelling time, complication rate and patient comfort were all observed.Results The observation group of patients with a catheter success rate for 81.67%, significantly higher than the control group of 43.33%, the difference between the two groups has statistical significance (P<0.05). Observation group of catheter operation time is lower than that of the control group, the catheter indwelling time than that of the control group was obviously prolonged, the difference between the two groups has statistical significance (P<0.05). Observation groups in the process of using complication rate was 6.67%, significantly lower than that of control group of 23.33%, the difference between the two groups has statistical significance (P<0.05). Observation group of patients with total comfortable rate was 95.00%, was significantly higher than that of the 85.00% of the control group, the difference between the two groups has statistical significance (P<0.05).ConclusionUnder puncture guided by ultrasound catheter success rate is high, fewer complications, can increase patient comfort, but the traditional method of puncture on vascular conditions good patient is still the most appropriate choice.
