超声引导与盲插经外周静脉置入中心静脉导管置管技术在938例肿瘤患者的对比分析  

Comparison of placement of peripherally inserted central catheters using vascular ultrasound guidance sys- tem and traditional method in 938 tumor patients

作　　者：祁永芝[1] 郭嬿[1] 徐晓霞[1] 张浩[1] 李莉[1] 

机构地区：[1]河南省肿瘤医院静脉置管室,郑州450000

出　　处：《中华临床营养杂志》2012年第4期253-255,共3页Chinese Journal of Clinical Nutrition

摘　　要：目的比较超声引导与盲穿两种置管技术的效果。方法选择经病理诊断为恶性肿瘤、遵医嘱行经外周静脉置入中心静脉导管置管术的患者938例，按照患者血管情况分为盲穿组（n=372）和B超引导结合改良塞丁格组（n=566）。比较两组患者的置管成功率、并发症发生率情况。结果1针置管成功率盲穿组为93.01%，B超引导结合改良塞丁格组为98.76％，两组比较差异具有统计学意义（P=0.005）；两组置管总成功率均为100%。并发症发生率盲穿组为11.29%，B超引导结合改良塞丁格组为2.47%，两组比较差异具有统计学意义（P=0.000）。 结论B超引导结合改良塞丁格穿刺技术行经外周静脉置入中心静脉导管置管能明显提高置管成功率、降低并发症发生率。ObjectiveTo compare the placement of peripherally inserted central catheters （PICC） by using vascular ultrasound guidance system and traditional method. MethodsTotally 938 patients undergoing PICC were divided into the traditional method group and the vascular ultrasound system and microintroducer techniques group according to the puncture time.The differences in the one-attempt success rate and the overall success rate of the placement and the incidences of complications were compared between the two groups.ResultsThe one-attempt success rate was 93.01% in the traditional method group and 98.76% in the vascular ultrasound system and microintroducer techniques group （P=0.005）. The successful rate of PICC placement was 100%. The incidence of complication was 11.29% in the traditional method group and 2.47% in the vascular ultrasound system and microintroducer technique group （P=0.000）. ConclusionThe PICC placement using vascular ultrasound guidance system and microintroducer techniques can increase one-attempt success rate and decrease complications.

关 键 词：盲穿法 超声 微插管鞘技术 经外周静脉置入中心静脉导管 

分 类 号：R473.73[医药卫生—护理学]