2种PICC穿刺法致机械性静脉炎的对比分析  

Different clinical effect on mechanical phlebitis after B ultrasound-guided MST of PICC and blind puncture PICC

作　　者：杨静[1] 宋迪[1] 徐令婕 

机构地区：[1]安徽省蚌埠医学院第一附属医院肿瘤内科,233004

出　　处：《中华全科医学》2014年第4期635-637,共3页Chinese Journal of General Practice

摘　　要：目的比较B超引导下改良塞丁格技术PICC置管和盲穿PICC置管后致机械性静脉炎的发生情况。方法将蚌埠医学院第一附属医院肿瘤内科100例行深静脉给药化疗的肿瘤患者按入院顺序随机分为观察组和对照组,观察组50例采用B超引导下改良塞丁格技术PICC置管,对照组50例采用盲穿PICC置管。观察2组机械性静脉炎的发生率。结果观察组患者机械性静脉炎的发生率是8%(4/50),对照组患者机械性静脉炎的发生率是36%(18/50),2组差异有统计学意义(P<0.01)。结论采用B超引导下改良塞丁格技术进行PICC穿刺置管能显著降低机械性静脉炎的发生率,值得在临床推广使用。Objective The objective of this study was exploring different clinical effect on mechanical phlebitis after B ul- trasound-guided MST of PICC and blind wear PICC. Methods 100 cases of tumor patients who were given the deep ve- nous chemotherapy were randomly divided into observation group and control group according to the order of admission. Catheters of observation group （50 cases） were inserted by B ultrasound-guided MST of PICC, and those of control group （50 cases） were inserted by blind puncture PICC. The incidence of mechanical phlebitis after PICC was compared be- tween two groups. Results The mechanical phlebitis rate of observation group was 8% （4/50）, and that of control group was 36% （18/50） ,P 〈0.01 ,and there was significant difference between two groups. Conclusion Inserting a catheter by B ultrasound-guided MST of PICC can reduce the incidence of mechanical phlebitis obviously, and this method was worthy of using and clinical polularization.

关 键 词：PICC B超 改良塞丁格 机械性静脉炎 效果观察 

分 类 号：R473.73[医药卫生—护理学] R445.1[医药卫生—临床医学]