皮下隧道法预防PICC置管后穿刺点出血的效果观察  

Observation on the effect of subcutaneous tunnel method in preventing puncture point bleeding after PICC catheterization

作　　者：田丽梅[1] 李桂莲[1] 江凤霞[1] 

机构地区：[1]江苏省连云港市第一人民医院血液科,江苏连云港222002

出　　处：《实用临床医药杂志》2012年第18期5-6,共2页Journal of Clinical Medicine in Practice

摘　　要：目的比较2种不同的穿刺方法对预防经外周静脉穿刺中心静脉置管(PICC)后穿刺点出血的效果。方法将65例不同病种行PICC置管患者分为常规对照组(35例)和观察组(30例),常规对照组按常规方法由静脉上方穿刺直入血管行PICC,观察组则在血管下方2～3cm进针,不直接刺入血管,先皮下潜行2～2.5cm后刺入血管,再将导管插入行PICC。结果观察组出血发生率显著低于常规对照组(P<0.05)。结论改进PICC穿刺方法后,可减少PICC穿刺点出血的发生。Objective To compare the preventive effects of puncture point bleeding after pe- ripherally inserted central catheter（PICC） by two different puncture methods. Methods Sixty- five PICC patients with different diseases were divided into conventional control group （ n = 35） and observation group （ n = 30）. The conventional group received the traditional method to take PICC, which was punctured into the vessel from superior direction of vein. The observation group first took a 2 to 2.5 cm subcutaneous sneak, then punctured into from position of 2 to 2.5 cm below the posterior direction of vessel, and finally completed PICC catheterization. Results Incidence rate of bleeding in the observation group was obviously lower than that in the conventional control group （P 〈 0.05）. Conclusion Improvement of PICC puncture method can reduce the incidence of the bleeding of the PICC puncture points.

关 键 词：经外周静脉留置中心静脉导管 皮下隧道法 穿刺点 出血 

分 类 号：R472.9[医药卫生—护理学]