目的 探讨末端瓣膜耐高压注射型经外周静脉穿刺中心静脉置管(application of power peripherally inserted central catheter solo，Power PICC Solo)与经锁骨下中心静脉置管(central venous catheter，CVC)在造血干细胞移植患者中的应用。方法 选取 2021 年 9 月—2023 年 6 月厦门大学附属第一医院收治的 100 例造血干细胞移植患者。根据患者置管方法分为外周静脉穿刺中心静脉置管(peripherally inserted central catheter，PICC)组(n=58)和CVC组(n=42)，PICC组采用Power PICC Solo，CVC组采用CVC。比较2组患者的置管成功情况、操作时间、导管置留时间、置管费用、置管后舒适度、患者液体流速、并发症发生率、患者满意度。结果 PICC组置管成功率优于CVC组，差异有统计学意义(P＜0。05)。PICC组操作时间短于CVC组，导管置留时间长于CVC组，置管费用高于CVC组，差异有统计学意义(P＜0。05)。PICC组患者舒适度优于CVC组，差异有统计学意义(P＜0。05)。在置管后第 1、10、20、30 天，PICC组患者液体流速均低于CVC组，且 2 组患者置管后第30 天流速均低于置管后第 1 天，差异有统计学意义(P＜0。05)。PICC组患者血栓性静脉炎发生率高于CVC组，导管感染发生率低于CVC组，差异有统计学意义(P＜0。05)，2 组患者血气胸、导管异位、导管脱落等发生率比较，差异无统计学意义(P＞0。05)。PICC组操作技术满意度评分为(17。24±2。17)分，高于CVC组的(14。07±2。68)分，差异有统计学意义(P＜0。05)。结论 与CVC比较，Power PICC Solo能够提高造血干细胞移植患者一次置管成功率，降低置管操作时间，延长导管置留时间，提高患者置管后舒适度，但置管费用较高，且血栓性静脉炎发生率高。
Application of Power PICC Solo and CVC in Patients With Hematopoietic Stem Cell Transplantation
Objective To explore the application of power peripherally inserted central catheter solo(Power PICC Solo)and subclavian central venous catheter(CVC)in patients with hematopoietic stem cell transplantation.Methods A total of 100 patients with hematopoietic stem cell transplantation admitted to the First Affiliated Hospital of Xiamen University from September 2021 to June 2023 were selected.Patients were divided into peripherally inserted central catheter(PICC)group(n=58)and CVC group(n=42)according to the catheterization method.Power PICC Solo was used in PICC group,and CVC was used in CVC group.The success of catheterization,operation time,catheter indwelling time,catheterization cost,post-catheterization comfort,patient flow rate,complication rate,and patient satisfaction were compared between the two groups.Results The success rate of catheterization in PICC group was better than that in CVC group,the difference was statistically significant(P<0.05).The operation time in PICC group was shorter than that in CVC group,catheter indwelling time was longer than that in CVC group,and catheterization cost was higher than that in CVC group,the difference was statistically significant(P<0.05).The patients comfort in PICC group was better than that in CVC group,the difference was statistically significant(P<0.05).At day 1,10,20 and 30 after catheterization,the fluid flow velocity in PICC group was lower than that in CVC group,and the flow velocity at day 30 after catheterization in 2 groups was lower than that at day 1 after catheterization,the difference was statistically significant(P<0.05).The incidence of thrombophlebitis in PICC group was higher than that in CVC group,while incidence of catheter infection was lower than that in CVC group(P<0.05).There was no significant difference in the incidence of hemopneumothorax,catheter misplacement and catheter shedding between the two groups(P>0.05).The technical satisfaction score of PICC group was(17.24±2.17)points,higher than(14.07±2.68)points of CVC group,and the difference was statistically significant(P<0.05).Conclusion Compared with CVC,Power PICC Solo can increase one-time success rate of catheterization in patients with hematopoietic stem cell transplantation,shorten catheterization time,prolong catheter indwelling time and improve post-catheterization comfort,with high catheterization cost and incidence of thrombophlebitis.
peripherally inserted central catheter solohematopoietic stem cell transplantationsubclavian central venous cathetersuccess rate of catheterizationcatheter indwelling timesatisfaction
万方数据
维普
