超声引导下经外周中心静脉置管术的临床应用  

Clinical application of the peripherally inserted central catheter guided by ultrasound

作　　者：侯文静[1] 李世英[1] 

机构地区：[1]天津市人民医院,天津300121

出　　处：《天津护理》2010年第2期72-73,共2页Tianjin Journal of Nursing

摘　　要：目的:探讨在超声引导下进行的经外周置入中心静脉导管(PICC)的临床应用效果。方法:将77例需经PICC置管的患者随机分为两组,超声组35例,对照组42例。对照组采用传统的肉眼直视下穿刺操作的方法置管,超声组采用经超声引导下穿刺置管技术。结果:两组比较PICC置管在一次穿刺成功率、PICC头端一次在位率、置管后机械性静脉炎的发生上差异均有显著性(P<0.05),在置管后静脉血栓的发生上差异无显著性(P>0.05)。结论:PICC置管在超声引导下进行,成功率高,并发症少,极大地减轻了患者的痛苦,提高了护理操作的安全性。Objective： To evaluate the therapeutic effect of the peripherally inserted central catheter（PICC） under the ultrasound.Methods： 77 patients who needed PICC were randomized into 2 groups： under ultrasound PICC group（35） and routine group（42）.Routine group stick with the traditional way,and the other group were under the ultrasound.Results： There was significant difference between two groups at the first time success rate of catheterization,the first time rate of catheter＇s apex in the right place and the incidence of mechanical phlebitis after catheterization（P0.05）.And there was no difference between two groups at the incidence of vein thrombosis（P0.05）.Conclusion： The PICC under the ultrasound has higher probability of success,lower rate of complication,less pain of patients and higher safety of nursing procedure.

关 键 词：超声 PICC 机械性静脉炎 静脉血栓 

分 类 号：R472[医药卫生—护理学]