CAJ | 학술논문

目的：探讨改良体位在提高 PICC 置管术一次性置管成功率以及降低其并发症发生率中的应用价值。方法将120例肺癌术后患者随机分为改良体位（半坐卧位）PICC 组与传统体位（平卧位）PICC 组。比较2组一次性置管成功率以及置管后并发症发生率。结果半坐卧位组与平卧位组在 PICC 一次置管成功率方面差异有统计学意义（P ＜0．05）。半坐卧位组行 PICC 所需时间较平卧位组显著缩短（P ＜0．05），且置管后穿刺口局部水肿及局部炎症的发生率显著较低（P ＜0．05）。结论改良体位即半坐卧位可有效降低 PICC 置管术导管异位发生率，提高一次性置管成功率。
목적：탐토개량체위재제고 PICC 치관술일차성치관성공솔이급강저기병발증발생솔중적응용개치。방법장120례폐암술후환자수궤분위개량체위（반좌와위）PICC 조여전통체위（평와위）PICC 조。비교2조일차성치관성공솔이급치관후병발증발생솔。결과반좌와위조여평와위조재 PICC 일차치관성공솔방면차이유통계학의의（P ＜0．05）。반좌와위조행 PICC 소수시간교평와위조현저축단（P ＜0．05），차치관후천자구국부수종급국부염증적발생솔현저교저（P ＜0．05）。결론개량체위즉반좌와위가유효강저 PICC 치관술도관이위발생솔，제고일차성치관성공솔。
ABSTRACT:Objective To explore the clinical value of improved body position in improving one-time success rate of PICC and reducing incidence rate of complications during PICC.Methods A total of 120 patients with lung cancer surgery were randomly divided into traditional body po-sition group and improved body position group.One-time success rate and incidence rate of com-plications during PICC were compared between two groups.Results There was significant differ-ence in one-time success rate of PICC between semi-reclining position group and supine group (P <0.05).Compared with the supine group,the time of PICC in the semi-reclining position group was significantly shorter (P <0.05),and the incidence rates of local edema and local inflam-mation around puncture point was significantly lower (P <0.05).Conclusion The modified semi-reclining position can effectively improve one-time success rate of PICC and reduce the inci-dence rates of misplaced PICC and complications.