B超引导下PICC置管在肝病患者中的应用效果分析  

Efficacy of the placement of PICC under the guidance of B mode ultrasonography in patients with liver diseases

作　　者：唐永红[1] 崔燕萍[1] 唐红梅[2] 张惠英[2] 文凤[2] 黄顺[2] 牛小霞[2] 储芳[2] 尚丽丹[2] 于晓莉[2] 刘素霞[2] 

机构地区：[1]解放军第三〇二医院护理部,北京100039 [2]解放军第三〇二医院静脉输液管理小组,北京100039

出　　处：《传染病信息》2013年第4期229-231,共3页Infectious Disease Information

基　　金：解放军第三〇二医院院内课题(YNKT2009019)

摘　　要：目的探讨提高肝病患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置管成功率,以及如何减少局部渗血及机械性静脉炎等并发症的方法。方法将选择普通PICC置管和B超引导下PICC置管的284例肝病患者分为对照组(146例)和试验组(138例),由固定人员操作,统一评估标准,并对比2组的置管成功率、局部渗血及机械性静脉炎的发生率。结果对照组和试验组的置管成功率分别为91.2%和100%,置管后Ⅲ度渗血发生率分别为11.6%和4.3%,机械性静脉炎的发生率分别为13.7%和0(P均<0.05)。结论 B超引导下PICC置管可有效提高肝病患者PICC置管成功率,明显降低置管后局部渗血和机械性静脉炎的发生率。Objective To explore a method to promote success rate of the placement of peripherally inserted central catheter （PICC） and reduce occurrence rates of complications such as local errhysis and mechanical phlebitis, etc. in patients with liver diseases. Methods Totally 146 patients receiving the placement of simple PICC and 138 undergoing the placement of PICC under the guidance of B mode ultrasonography were enrolled in this study as the control group and the experimental group, respectively. The two kinds of placement of PICC was conducted by a group with fixed members and the judging criteria were the same. The success rate of placing PICC and occurrence rates of local errhysis and mechanical phlebitis were compared between the 2 groups. Results The success rates of placing PICC were 91.2% and 100%, the occurrence rates of grade III local errhysis 11.6% and 4.3%, and the occurrence rates of mechanical phlebitis 13.7% and 0 in the control group and the experimental group, respectively. The differences in the 3 indexes were significant between the 2 groups （P〈0.05）. Conclusions Performance of placing PICC under the guidance of B mode uhrasonography can effectively promote the success rate of placing PICC and significantly reduce the occurrence rates of local errhysis and mechanical phlebitis in patients with liver diseases.

关 键 词：超声检查 介入性 超声疗法 肝病 

分 类 号：R445.1[医药卫生—影像医学与核医学]