应用心电监护导引法提高PICC置管成功率的效果观察  

Improvement of Success Rate for PICC with Electrocardiographic Monitoring

作　　者：徐明明[1] 王太芬[1] 严娇[1] 姚妮芳[1] 

机构地区：[1]深圳市中医院ICU,广东深圳518000

出　　处：《护理学报》2012年第3期66-67,共2页Journal of Nursing（China）

摘　　要：目的探讨运用心电监护导引方法,提高PICC置管成功率。方法将140例行PICC置管患者分为对照组和观察组各70例。对照组按传统方法行PICC置管,置管后拍X线片确定导管位置。观察组在心电监护导引下置管,置管时即通过监护心电P波的变化来确定导管位置。结果对照组1次置管成功率(88%)显著低于观察组(98%),静脉炎发生率显著高于观察组(P<0.05)。结论经心电监护导引行PICC置管,具有提高置管成功率、减少医疗费用、提高工作效率、减少并发症等优势。Objective To discuss the improvement of success rate of PICC with electrocardiographic monitoring. Methods The study involved 140 patients, which were divided into control group （n=70） and observation group （n=70）. In control group, the catheterization of PICC was carried out with traditional approach and the position of PICC was located by X-ray while in observation group, the catheterization was conducted under the monitoring of electrocardiogram and the position of PICC was revealed by the monitoring of P wave changes. Results The success rate in control group was obviously lower than that in observation group while the incidence of phlebitis was higher （P〈0.05）. Conclusion The catheterization of PICC under electrocardiographic monitoring is effective in improving its success rate and reducing related complications.

关 键 词：经外周置入中心静脉导管 心电监护 导管插入术 

分 类 号：R472[医药卫生—护理学]