彩超及B-FLOW技术引导下经外周静脉穿刺中心静脉置管的可行性研究  

The Feasibility of Peripherally Inserted Central Catheteration Guided by Doppler-ultrasonic and B-FLOW Technique

作　　者：胡君娥[1] 龚兰[2] 唐运香[1] 张强[2] 周娟[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院肿瘤科,湖北荆州434020 [2]华中科技大学同济医学院附属荆州医院超声科,湖北荆州434020

出　　处：《护理学报》2007年第6期5-7,共3页Journal of Nursing（China）

基　　金：荆州市科技攻关项目(2006ZDE01-6)

摘　　要：目的探讨彩超及B-FLOW技术引导下经外周静脉穿刺中心静脉置管(PICC)的可行性。方法将120例需行PICC的患者分为盲穿组、彩超组、结合组,分别行盲穿、彩超引导、彩超结合B-FLOW引导下置管,对置管一次成功率、局部组织损伤、术后血栓发生率进行比较。结果3组一次置管成功率、局部组织损伤、术后血栓发生率比较,差异均有统计学意义,结合组一次置管成功率最高,局部组织损伤、术后血栓发生率最低。结论彩超及B-FLOW引导下行PICC是一种实用、安全的置管方法,使普通彩超引导下置管变得更完美,对局部血管状况差的患者使用更能突显其优势。Objective To study the feasibility of peripherally inserted central catheteration （PICC） guided by Doppler-ultrasonic and B-FLOW technique. Methods 120 were divided to blind-puncture group, Doppler-ultrasonic group, and Doppler-ultrasonic and B-FLOW technique group. PICC was performed by blind-puncture, Doppler-ultrasonic, and Doppler-ultrasonic and B-FLOW technique, respectively and then the one-time success rate, injure of local tissues and post-puncture incidence of thrombus were recorded and compared between the groups. Results The differences were all significant in one-time success rate, injure of local tissues and post-puncture incidence of thrembus between the groups. Conclusion PICC guided by Doppler-ultrasonic and B-FLOW technique is safe and workable, especially for those with poor local veins.

关 键 词：经外周中心静脉置管 彩超 B-FLOW 

分 类 号：R445.1[医药卫生—影像医学与核医学] R472[医药卫生—诊断学]