Effect of modified electrocardiogram guided localization on PICC in HIV patients
Objective To investigate the effect of modified electrocardiogram guided localization on peripherally inserted central catheter(PICC)in patients infected with human immunodeficiency virus(HIV).Methods One hundred HIV patients admitted to Changzhou Third People's Hospital from January 2022 to February 2023 were selected for the randomized controlled trial,and were divided into an experimental group and a control group by the random number table method,with 50 cases in each group.There were 42 males and 8 females in the control group;they were(46.60±14.63)years old.There were 46 males and 4 females in the experimental group;they were(46.24±15.71)years old.The control group were manually injected saline;the experimental group received modified electrocardiogram guided localization.After catheter placement,the catheter in position rates,ectopic rates during placement,the positioning times,incidences of complications,and patient satisfaction were compared between the two groups.t and x2 tests were applied.Results The PICC in position rate and patient satisfaction in the experimental group were higher than those in the control group[98.0％(49/50)vs.82.0％(41/50)and 98.0％(49/50)vs.80.0％(40/50)];the incidence of complications in the experimental group was lower than that in the control group[10.0％(5/50)vs.30.0％(15/50)];the positioning time in the experimental group was shorter than that in the control group[(17.56±1.64)s vs.(33.22±2.75)s];there were statistical differences(x2=7.111,8.274,and 6.250;t=32.604;all P＜0.05).There was no statistical difference in the ectopic rate during placement between the experimental group and the control group[2.0％(1/50)vs.6.0％(3/50)],with no statistical difference(x2=1.042,P=0.307).Conclusion Application of modified electrocardiogram guided localization in HIV patients is safe,accurate,economical,and practical to improve patient satisfaction and reduce the incidence of complications after catheterization.
Human immunodeficiency virusModified electrocardiogram guided localizationPeripherally inserted central catheter
万方数据
维普
