首页|两种迷你中线导管置管方法的效果比较

两种迷你中线导管置管方法的效果比较

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目的 探讨提高一次穿刺成功率、减少并发症的迷你中线导管置管方法.方法 将130例拟行迷你中线导管穿刺的患者随机分为对照组和观察组各65例.对照组采用盲穿置管法,导管留置于前臂浅静脉.观察组在超声引导下进行迷你中线导管置管,导管留置于上臂静脉.观察并比较两组患者一次穿刺成功率、置管操作时间、并发症发生率及导管留置时间.结果 对照组64例、观察组63例完成研究.观察组患者一次穿刺成功率(96.83%)显著高于对照组(85.94%);静脉炎发生率显著低于对照组,置管操作时间、导管留置时间显著长于对照组(均P<0.05).结论 采用超声引导下迷你中线导管置管可以提高一次穿刺成功率,降低静脉炎发生率,延长导管留置时间.
Comparison of the effects of two methods of minimidline catheter placement
Objective To investigate the mini-midline catheter insertion methods to improve the success rate of first-attempt puncture and reduce complications.Methods A total of 130 patients who were going to undergo surgery to place mini-midline catheters were randomly divided into the control group and the observation group,with 65 cases in each group.In the control group,catheters were inserted into the superficial forearm vein without the help of any tools.In the observation group,ultrasound-guided placement of mini-midline catheters was performed,and the catheters were placed in the upper arm vein.We observed and compared the suc-cess rate of first-attempt puncture,how long it took to place the catheters,the complication rate,and the catheter dwell time be-tween the two groups.Results Sixty-four cases in the control group and 63 cases in the observation group completed the study.The success rate of first-attempt puncture in the observation group(96.83%)was significantly higher than that of the control group(85.94%).The lower incidence of phlebitis were found in the observation group,with significant differences.The time for cathe-terization and catheter dwell time in the observation group were significantly longer than that of the control group(all P<0.05).Conclusion The ultrasound-guided placement of mini-midline catheters can improve the success rate of first-attempt puncture,re-duce the incidence of phlebitis,and prolong the catheter dwell time.

mini-midline cathetersultrasound-guidedcomplicationphlebitisdwell timeocclusionindwelling nee-dlePICC

臧丽丽、宗晶、石素宁、尼娜、唐亚男、杨心心、赵培培

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中国人民解放军第九六○医院神经内科(山东济南,250031)

中国人民解放军第九六○医院护理部(山东济南,250031)

迷你中线导管 超声引导 并发症 静脉炎 留置时间 堵管 留置针 经外周置入中心静脉导管

中国人民解放军第九六〇医院青年自主创新科学基金

2023HL01

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(5)
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