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床旁超声引导下PICC用于危重症患者治疗中的临床价值

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目的 探讨床旁超声引导下经外周静脉穿刺中心静脉置管(PICC)在危重症患者治疗中的应用价值。方法 选取217例危重症患者作为本次研究对象,通过随机数字表法分成对照组(108例)和研究组(109 例)。对照组采用常规体表标定下PICC干预,研究组实施床旁超声引导下PICC干预。比较两组患者置管情况及并发症发生情况。结果 研究组置管成功率 68。81%明显高于对照组的 51。85%,穿刺次数(1。12±0。08)次少于对照组的(2。56±1。85)次,更换穿刺位置占比2。75%明显低于对照组的9。26%,置管时间(5。64±2。14)min短于对照组的(16。48±5。68)min,差异具有统计学意义(P<0。05)。研究组并发症发生率 19。27%明显低于对照组的 47。22%,差异具有统计学意义(P<0。05)。结论 在危重症患者治疗中采取床旁超声引导下PICC干预具有较高的安全性,且有效减少并发症发生情况,具有重要的临床意义,值得广泛推广和应用。
Clinical value of bedside ultrasound guided PICC in the treatment of critically ill patients
Objective To explore the application valule of bedside ultrasound guided peripherally inserted central catheter(PICC)in the treatment of critically ill patients.Methods 217 critically ill patients were selected as the subjects of this study.They were divided into a control group(108 cases)and a study group(109 cases)using a random number table method.The control group had 108 cases,while the study group had 109 cases.The control group used PICC intervention under conventional calibration,and the study group implemented bedside ultrasound-guided PICC intervention.The catheterization and complications were compared between the two groups.Results In the study group,the success rate of catheterization of 68.81%was significantly higher than 51.85%in the control group;the puncture frequency of(1.12±0.08)times was less than(2.56±1.85)times in the control group;the percentage of changing the puncture position of 2.75%was significantly lower than 9.26%in the control group;the catheterization time of(5.64±2.14)min was shorter than(16.48±5.68)min in the control group;the difference was statistically significant(P<0.05).The incidence of complications of 19.27%in the study group was significantly lower than 47.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of bedside ultrasound guided PICC in the treatment of critically ill patients has high safety and can effectively reduce the occurrence of complications.It has important clinical significance and is worthy of widespread promotion and application.

Bedside ultrasound guidancePeripherally inserted central catheterCritically ill

杨玉兰、陈奕诺

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125001 辽宁省葫芦岛市连山区人民医院暨葫芦岛市肿瘤医院

121000 锦州医科大学第一临床学院21级3班

床旁超声引导 经外周静脉穿刺中心静脉置管 危重症

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(19)