应用心房内心电图辅助PICC导管尖端定位的效果评价

发布时间：2018-02-17 06:45

本文关键词： 心电描记术经外周静脉置入中心静脉导管尖端定位　出处：《中国护理管理》2016年06期 　论文类型：期刊论文

【摘要】：目的 :评价心房内心电图辅助PICC导管尖端定位的临床应用效果。方法 :将我院2015年1-9月入院的1000例患者按抽签法随机分为对照组和实验组,两组均采用常规方法进行导管置入,两组患者在置管结束后均进行X线片定位确定导管尖端位置,而实验组在置管过程中增加应用心房内心电图辅助技术进行导管尖端定位,比较两组导管尖端的异位率及导管尖端位于理想位置的比例。结果 :实验组导管尖端异位率比对照组低(χ2=30.548,P0.001);不同置管静脉中两组导管尖端异位率均存在统计学差异(P0.05);实验组导管尖端位于理想位置的比例高于对照组(P0.05)。结论 :应用心房内心电图辅助PICC导管尖端定位,可有效降低导管尖端的异位率,在判断导管尖端位于理想位置的灵敏度高。
[Abstract]:Objective: to evaluate the clinical application effect of atrial electrocardiogram assisted PICC catheter tip localization. Methods: 1 000 patients admitted from 2015 to September in our hospital were randomly divided into control group and experimental group according to the method of drawing lots. In both groups, catheter placement was performed by routine method. After catheterization, X-ray radiographs were performed to locate the tip of the catheter in both groups, while in the experimental group, intraatrial electrocardiogram assisted technique was used to locate the tip of the catheter in the course of catheterization. Results: the heterotopic rate of catheter tip in the experimental group was lower than that in the control group (蠂 ~ (2) 30.548) (P 0.001), and there was statistical difference between the two groups in the catheter tip heterotopic rate in different catheterization veins. The ratio of the tip of the catheter in the experimental group was higher than that in the control group (P 0.05). Conclusion: the atrial electrocardiogram was used to assist the location of the tip of the PICC catheter. It can effectively reduce the heterotopic rate of catheter tip, and has high sensitivity in judging the tip of the catheter in the ideal position.
【作者单位】：中国医科大学肿瘤医院辽宁省肿瘤医院护理部;
【基金】：2015年辽宁省自然科学基金项目(2015020286)
【分类号】：R472

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