CAJ | 학술논문

目的：探讨B超引导下应用塞丁格技术与常规行外周中心静脉置管术(PICC)对无菌性静脉炎的影响。方法75例行PICC术的乳腺癌患者,随机分为实验组和对照组,对照组(40例)行常规PICC置管,实验组(35例)于超声引导下应用塞丁格技术行PICC置管,观察两组行PICC术后无菌性静脉炎的发生率。结果实验组无菌静脉炎发生率为0,患者舒适度提高；对照组无菌静脉炎发生率为15%。两组无菌性静脉炎发生率差异有统计学意义(P<0.05)。结论无菌性静脉炎的发生与插管不畅、反复送管、携管期间插管侧上臂活动度过大、维护期敷料选择有关。超声引导下应用塞丁格技术行PICC置管,可以减少无菌性静脉炎的发生,提高置管成功率,增加患者舒适度,保证治疗有效进行。
목적：탐토B초인도하응용새정격기술여상규행외주중심정맥치관술(PICC)대무균성정맥염적영향。방법75례행PICC술적유선암환자,수궤분위실험조화대조조,대조조(40례)행상규PICC치관,실험조(35례)우초성인도하응용새정격기술행PICC치관,관찰량조행PICC술후무균성정맥염적발생솔。결과실험조무균정맥염발생솔위0,환자서괄도제고；대조조무균정맥염발생솔위15%。량조무균성정맥염발생솔차이유통계학의의(P<0.05)。결론무균성정맥염적발생여삽관불창、반복송관、휴관기간삽관측상비활동도과대、유호기부료선택유관。초성인도하응용새정격기술행PICC치관,가이감소무균성정맥염적발생,제고치관성공솔,증가환자서괄도,보증치료유효진행。
Objective To investigate influence of B ultrasound-guided Seldinger technique and conventional peripherally inserted central catheter (PICC) on sterile phlebitis. Methods A total of 75 breast cancer patients receiving PICC were randomly divided into two groups, as control group (40 cases) received conventional PICC and experimental group (35 cases) received ultrasound-guided Seldinger technique for PICC. Incidences of sterile phlebitis after PICC were observed in the two groups. Results The experimental group had incidence of sterile phlebitis as 0, with high comfort degree in patients. Incidence of sterile phlebitis was 15%in the control group, and the difference had statistical significance between the two groups (P<0.05). Conclusion Occurrence of sterile phlebitis is related with blocked catheter, repeated intubation, over forearm activity during intubation, and dressing choice in maintenance period. Implement of ultrasound-guided Seldinger technique for PICC can reduce occurrence of sterile phlebitis, and improve success rate of intubation and patients’ comfort degree. It can guarantee effective progress in treatment.