CAJ | 학술논문

目的：：评价便携式超声仪引导下经外周静脉置入中心静脉导管( PICC)术的临床价值。方法：将2013年12月至2014年11月在广州市第一人民医院就诊的需长期输液的245例患者作为研究对象,根据上肢血管条件分为对照组(血管条件相对较好,103例)和观察组(血管条件较差者,142例)。对照组采用常规盲穿式PICC置管；观察组采用超声仪引导下结合赛丁格技术行PICC置管。比较两组一次性穿刺成功率、一次性置管成功率、术后静脉炎发生率、导管相关性血栓发生率。结果：观察组一次性穿刺成功率、一次置管成功率均高于对照组(P<0.05),而置管后静脉炎、导管相关性血栓发生率均低于对照组( P<0.05)。结论：便携式超声仪引导结合赛丁格技术行PICC置管术的置管成功率高、术后并发症少,安全性高。
목적：：평개편휴식초성의인도하경외주정맥치입중심정맥도관( PICC)술적림상개치。방법：장2013년12월지2014년11월재엄주시제일인민의원취진적수장기수액적245례환자작위연구대상,근거상지혈관조건분위대조조(혈관조건상대교호,103례)화관찰조(혈관조건교차자,142례)。대조조채용상규맹천식PICC치관；관찰조채용초성의인도하결합새정격기술행PICC치관。비교량조일차성천자성공솔、일차성치관성공솔、술후정맥염발생솔、도관상관성혈전발생솔。결과：관찰조일차성천자성공솔、일차치관성공솔균고우대조조(P<0.05),이치관후정맥염、도관상관성혈전발생솔균저우대조조( P<0.05)。결론：편휴식초성의인도결합새정격기술행PICC치관술적치관성공솔고、술후병발증소,안전성고。
Objective:To evaluate the clinical value of the peripherally inserted central catheter ( PICC) through superficial vein of upper limb under the guidance of portable ultrasonic instrument. Methods:A total of 245 patients, who needed long-term transfusion in Guangzhou First People′s Hospital between December 2013 and November 2014, were included as the subjects in the study. All the patients were divided into the control group ( patients with relatively good condition of blood vessel, n=103 ) and the study group ( patients with relatively bad condition of blood vessel, n=142) . Routine group stick with the traditional way and insertion sites located in cubital fossa. Test group were under the bedside ultrasound with seldinger technique and chose the basilic or brachial veins in the upper arm to insert the PICC line.The one-time puncture success rate, one-time PICC success rate, postoperative phlebitis incidence, and catheter-related thrombus incidence between the groups were compared. Results:The one-time puncture success rate and one-time PICC success rate in the study group were higher than those in the control group ( P<0. 05 ) , whereas the postoperative phlebitis incidence and catheter-related thrombus incidence in the study group were lower than those in the control group (P<0.05). Conclusion:The PICC under the guidance of ultrasonic instrument and Seldinger technique show high success rate of catheterization, low incidence of postoperative complication and high safety.