PICC与锁骨下静脉置管在老年危重患者中的应用比较  

Application of PICC and CVC in Critically Ill Elderly Patients

作　　者：徐媶[1] 奚艳[1] 吴小梅[1] 汤娟[1] 

机构地区：[1]江苏大学附属人民医院,江苏省镇江市212002

出　　处：《医学理论与实践》2012年第8期885-886,889,共3页The Journal of Medical Theory and Practice

摘　　要：目的:比较经外周穿刺中心静脉置管(PICC)与锁骨下静脉置管(CVC)在老年危重患者中的应用效果。方法:将105例老年危重患者随机分为PICC组(55例)和CVC组(50例),比较两组平均穿刺时间,一次性成功率,平均留置时间及并发症发生率。结果:PICC组平均穿刺时间少于CVC组;PICC组置管一次性成功率高于CVC组;PICC组平均留置时间长于CVC组,差异均有统计学意义,并发症的发生率PICC组与CVC组差异无统计学意义。结论:PICC置管留置时间长、成功率高、并发症少,满足了老年危重患者治疗的需要,同时减轻了患者的痛苦,提高了患者的生存质量。Objective： To compare the application of peripherally inserted central catheter（PICA]） and central venous catheter（CVC） in critically ill elderly patients. Methods： 105 patients were randomly divided into two groups. The PICC group had 55 cases, and the CVC group had 50 cases. We compared average puncture time, one-time success rate, the average retention time and incidence of complications. Results：The average puncture time of PICC group is shorter than that of CVC group;one-time success rate of PICC group is higher than that of CVC group; the average retention time of PICC group is longer than that of CVC group. All of the differences were statistically significant. The incidence of com- plications between two groups was no statistically difference. Conclusion： PICC catheter indwelling meets the needs of elderly critically ill patients, reduces the patients＇ suffering, and improves the patients＇ quality of life.

关 键 词：PICC 锁骨下静脉置管 老年危重患者 

分 类 号：R473.5[医药卫生—护理学]