首页|超声引导下隧道式PICC静脉置管与传统PICC置管在临床中的应用效果比较

超声引导下隧道式PICC静脉置管与传统PICC置管在临床中的应用效果比较

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目的 比较超声引导下隧道式经外周静脉置入中心静脉导管(PICC)静脉置管与传统PICC置管在临床中的应用效果。方法 选择 2021 年 5 月至 2022 年 4 月在医院治疗的 80 例PICC静脉置管患者作为研究对象,经随机数字表法将其分为对照组和观察组,各 40 例。对照组行超声引导下传统PICC置管,观察组行超声引导下隧道式PICC静脉置管。比较两组的应用效果。结果 两组置管后均未出现Ⅲ级、Ⅳ级机械性静脉炎。观察组置管后的机械性静脉炎发生率显著低于对照组,穿刺点的渗血程度优于对照组(P<0。05)。观察组的一次置管成功率高于对照组,导管移位、导管脱出发生率及并发症总发生率低于对照组(P<0。05)。观察组的舒适度、生活自理能力、美观度评分高于对照组(P<0。05)。结论 与传统PICC置管相比,超声引导下隧道式PICC静脉置管的应用效果更好,可明显提高一次置管成功率,更好控制PICC置管相关并发症。
Comparison of clinical application effects between ultrasound-guided tunnel PICC venous catheterization and traditional PICC catheterization
Objective To compare the clinical application effects of ultrasound-guided tunnel peripherally inserted central venous catheters(PICC)venous catheterization and traditional PICC catheterization.Methods A total of 80 patients with PICC venous catheterization who were treated in hospital from May 2021 to April 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group underwent ultrasound-guided traditional PICC catheterization,and the observation group underwent ultrasound-guided tunnel PICC venous catheterization.The application effects of the two groups were compared.Results No grade Ⅲ and Ⅳ mechanical phlebitis occurred in the two groups after catheterization.The incidence of mechanical phlebitis after catheterization in the observation group was significantly lower than that in the control group,and the degree of bleeding at the puncture point was better than that in the control group(P<0.05).The success rate of one-time catheterization in the observation group was higher than that in the control group,and the incidence of catheter displacement,catheter prolapse and total incidence of complications were lower than those in the control group(P<0.05).The comfort,self-care ability and aesthetic scores of the observation group were higher than those of the control group(P<0.05).Conclusion Compared with traditional PICC catheterization,the ultrasound-guided tunnel PICC venous catheterization has better application effect,which can significantly improve the success rate of one-time catheterization and better control the complications related to PICC catheterization.

tunnel peripherally inserted central venous catheterultrasound guidancecomplication

王蒙蒙、路径、钱乡闻

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西安大兴医院甲乳外科,陕西 西安,710000

西安大兴医院内分泌科,陕西 西安,710000

四川省人民医院内分泌科,四川 成都,610072

隧道式经外周静脉置入中心静脉导管 超声引导 并发症

四川省保健委员会 2020年干部保健科研课题

川干研 2020-661

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(1)
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