两种颈部静脉阻断方法预防血液病患儿PICC置管时导管异位的比较

发布时间：2018-08-13 13:21

【摘要】：目的探讨两种不同的方法阻断颈部静脉在血液病患儿置PICC管中异位效果的比较。方法选择79例需行PICC置管的血液病患儿,按其入院先后分为对照组和观察组,对照组41例,观察组38例。对照组在送管时采用偏头法加手臂与躯体大于90°角而小于135°角;观察组采用B超探头压迫法以阻断颈内、颈外静脉。观察两种置PICC管过程中导管异位入颈部静脉的发生率,置管时间,家属对护理质量的满意度。置管后采用X线确定导管尖端位置的正确率。结果置管过程中,对照组PICC管异位入颈部静脉发生率为24.4%(10/41),观察组PICC管异位入颈部静脉发生率2.6%(1/38),两组异位发生率差异有统计学意义(P0.01);对照组置管时间为(41.5±5.2)s,观察组置管时间为(25.2±3.1)s,差异有统计学意义(P0.01);护理工作满意度比较,观察组明显高于对照组,差异有统计学意义(P0.01)。结论采用B超探头压迫法可预防减少血液病患儿置PICC管异位入颈部静脉的发生率,缩短置管时间,提高患儿及家属的满意度。
[Abstract]:Objective to compare the effects of two different methods of blocking cervical vein in children with hematologic diseases by inserting PICC tube. Methods Seventy-nine children with hematologic diseases who needed PICC catheterization were divided into control group (n = 41), observation group (n = 38) and control group (n = 41). In the control group, the angle of arm and body was greater than 90 掳and the angle of body was less than 135 掳, while in the observation group, the internal and external jugular veins were blocked by B-ultrasonic probe compression. The incidence of ectopic catheterization into the cervical vein, the time of catheterization, and the satisfaction of family members with nursing quality were observed. After tube placement, X-ray was used to determine the accuracy of the tip position of the catheter. Results in the course of tube placement, The incidence of ectopic insertion of PICC tube into the cervical vein was 24.4% (10 / 41) in the control group, and 2.6% (1 / 38) in the observation group. The difference between the two groups was statistically significant (P0.01), and the time of catheter placement in the control group was (41.5 卤5.2) s, and that in the observation group was (25.2 卤3.1) s. Statistical significance (P0.01); comparison of nursing job satisfaction, The observation group was significantly higher than the control group, the difference was statistically significant (P 0.01). Conclusion the method of B-ultrasound probe compression can reduce the incidence of ectopic insertion of PICC tube into the neck vein of children with hematologic diseases, shorten the time of catheter insertion, and improve the satisfaction of the children and their families.
【作者单位】：广东省人民医院(广东省医学科学院)惠福分院门诊部;
【分类号】：R473.72

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