CAJ | 학술논문

目的：探究分析在肿瘤患者围手术期应用超声引导下改良赛丁格采取经外周中心静脉置管（picc置管）的应用效果。方法将我院2013年3月～2014年3月接收治疗的52例行PICC置管的肿瘤患者作为临床研究对象，按照住院尾号的奇数将其分为26例研究组和26例对照组，对照组患者给予常规穿刺置管，研究组患者在超声引导下改良赛丁格技术进行穿刺置管，对两组患者的一次穿刺置管成功率以及不良反应发生率进行观察对比。结果研究组患者的一次穿刺置管成功率显著高于对照组（p<0.05）；研究组患者的不良反应率明显低于对照组（p<0.05）。结论在肿瘤患者围手术期应用超声引导下改良赛丁格行picc置管，能够提高成功率，降低并发症发生率，值得推广临床应用。
목적：탐구분석재종류환자위수술기응용초성인도하개량새정격채취경외주중심정맥치관（picc치관）적응용효과。방법장아원2013년3월～2014년3월접수치료적52례행PICC치관적종류환자작위림상연구대상，안조주원미호적기수장기분위26례연구조화26례대조조，대조조환자급여상규천자치관，연구조환자재초성인도하개량새정격기술진행천자치관，대량조환자적일차천자치관성공솔이급불량반응발생솔진행관찰대비。결과연구조환자적일차천자치관성공솔현저고우대조조（p<0.05）；연구조환자적불량반응솔명현저우대조조（p<0.05）。결론재종류환자위수술기응용초성인도하개량새정격행picc치관，능구제고성공솔，강저병발증발생솔，치득추엄림상응용。
objective to explore analysis in cancer patients with perioperative application of ultrasound guided by improving the dingle take the peripheral central venous catheter (picc catheter) application effect. Method from July 2012 to July 2012 to receive the treatment 52 routine PICC catheter tumors as a clinical research object, according to a private hospital odd its divided into 26 patients group and 26 cases of control group, control group patients give regular, tube in patients with team under the guidance of ultrasound improved the dingle technology, tube of two groups of patients with a success rate of tube and the incidence of adverse reactions were observed. Results the team in patients with a success rate of tube is significantly higher than control group (p < 0.05); Group of patients with adverse reaction rate is significantly lower than the control group (p < 0.05). Conclusion perioperative patients with tumor under ultrasound improved the Ding Gehang picc catheter, can improve the success rate, reduce the incidence of complications, worthy of promotion of clinical application.