穿刺侧上肢不同外展角度对PICC颈内静脉异位的影响
发布时间：2019-05-20 06:49
【摘要】：目的探讨穿刺侧上肢不同外展角度对PICC颈内静脉异位的影响。方法选取我院2015年8月—2017年1月行PICC置管单侧乳腺癌患者210例作为研究对象,随机分为3组,每组70例,3组穿刺侧上肢外展角度分别设为45°、90°、160°,置管静脉均选择健侧贵要静脉,采用超声引导下改良塞丁格技术肘上置管,导管送入预定长度后,进行B超检查,如果在颈内静脉发现导管末端显影,即判定为颈内静脉异位。结果 45°组发生颈内静脉异位率为7.14%(5例),90°组为8.57%(6例),160°组未发生异位;3组比较,差异无统计学意义(χ2=5.95,P0.05,);两两比较,160°组与45°组、160°组和90°组,差异有统计学意义(P0.05);45°组和90°组,差异无统计学意义(P0.05)。结论 45°、90°和160°均可作为PICC的置管角度,可以不仅仅局限于90°,可根据患者具体情况选择置管角度,制订个性化的置管方案。
[Abstract]:Objective to investigate the effect of different abduction angles of puncture side upper limb on ectopic internal jugular vein of PICC. Methods from August 2015 to January 2017, 210 patients with unilateral breast cancer treated with PICC catheterization were randomly divided into three groups, 70 patients in each group. The abduction angles of the upper limbs in the three groups were 45 掳, 90 掳and 160 掳, respectively. All the catheterization veins selected the contralateral vein, and the modified Sedinger technique was used to place the tube on the elbow under the guidance of ultrasound. After the catheter was sent into the predetermined length, B-ultrasound examination was carried out. If the end of the catheter was found in the internal jugular vein, it was determined to be ectopic of the internal jugular vein. Results the ectopic rate of internal jugular vein was 7.14% (5 cases) in 45 掳group, 8.57% (6 cases) in 90 掳group, and no heterosis occurred in 160 掳group, there was no significant difference among the three groups (蠂 2 鈮，
本文编号：2481448
[Abstract]:Objective to investigate the effect of different abduction angles of puncture side upper limb on ectopic internal jugular vein of PICC. Methods from August 2015 to January 2017, 210 patients with unilateral breast cancer treated with PICC catheterization were randomly divided into three groups, 70 patients in each group. The abduction angles of the upper limbs in the three groups were 45 掳, 90 掳and 160 掳, respectively. All the catheterization veins selected the contralateral vein, and the modified Sedinger technique was used to place the tube on the elbow under the guidance of ultrasound. After the catheter was sent into the predetermined length, B-ultrasound examination was carried out. If the end of the catheter was found in the internal jugular vein, it was determined to be ectopic of the internal jugular vein. Results the ectopic rate of internal jugular vein was 7.14% (5 cases) in 45 掳group, 8.57% (6 cases) in 90 掳group, and no heterosis occurred in 160 掳group, there was no significant difference among the three groups (蠂 2 鈮，
本文编号：2481448
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