介绍一种PICC改良盲法穿刺置管技术

发布时间：2018-06-24 04:38

本文选题：改良盲法穿刺技术 + PICC置管　；参考：《肠外与肠内营养》2017年03期

【摘要】：目的:探讨改良盲法穿刺技术在经外周静脉置入中心静脉导管(PICC)置管中的效果和可行性。方法:将我科需要PICC置管的70例病人随机分为经B超引导穿刺组和改良盲法穿刺组,每组各35例。记录两组病人一次穿刺成功率、一次置管成功率、穿刺点位置、上臂臂围、置管时间、静脉炎发生率、皮下淤血率等资料。结果:改良盲法穿刺组在一次穿刺成功率、一次置管成功率、穿刺点位置、静脉炎发生率、皮下淤血率与经B超引导穿刺组差异无统计学意义(P㧐0.05)。改良盲法穿刺组置管时间明显短于经B超引导穿刺组(P0.001)。上臂臂围与改良盲法穿刺组一次成功率呈负相关(-0.475,P=0.004)。结论:改良盲法穿刺技术在PICC置管成功率较高,且不增加并发症和置管时间。
[Abstract]:Objective: to investigate the effect and feasibility of modified blind puncture technique in central venous catheterization (PICC) via peripheral vein. Methods: 70 patients who needed PICC catheterization in our department were randomly divided into B ultrasound guided puncture group and modified blind puncture group with 35 cases in each group. The success rate of one puncture, one catheterization, the location of puncture point, the arm circumference of the upper arm, the time of catheterization, the incidence of phlebitis and the rate of subcutaneous congestion were recorded. Results: there was no significant difference in the success rate of single puncture, the success rate of one tube insertion, the location of puncture point, the incidence of phlebitis and the rate of subcutaneous congestion in the modified blind puncture group compared with the puncture group guided by B-ultrasound (P0. 05). The time of catheterization in modified blind puncture group was significantly shorter than that in B-ultrasound guided puncture group (P0.001). The arm circumference of the upper arm was negatively correlated with the success rate of the improved blind puncture group (-0.475P0. 004). Conclusion: the improved blind puncture technique has a high success rate in PICC and does not increase complications and catheterization time.
【作者单位】：昆明医科大学第二附属医院肝胆外科;昆明医科大学第二附属医院胃肠外科;云南省外科临床营养研究中心;昆明医科大学第二附属医院SICU;
【基金】：国家自然科学基金(81160114) 云南省外科临床营养研究中心专项基金(2014NS090)
【分类号】：R472

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