B超联合腔内心电图定位法用于血液科患者PICC置管  

Effects of type-B ultrasonography combined with electrocardiography on PICC insertion in patients with hematological diseases

作　　者：赵洁[1] 姚晶晶[1] 陈敏[1] 李红梅[1] 许汇娟[1] 梁玉婷[1] 

机构地区：[1]南方医科大学南方医院血液科,广东广州510515

出　　处：《护理学杂志》2015年第23期36-38,共3页

基　　金：南方医科大学南方医院院长基金资助(2014H003)

摘　　要：目的探讨B超联合腔内心电图定位法引导PICC置管的效果。方法将150例血液病行PICC置管患者随机分为B超组和心电图组各75例,分别采用B超引导置管、B超联合心电图定位法引导置管,并通过P波的变化确定导管末端的位置。结果 B超组导管末端一次性到位率(88.00%)显著低于心电图组(97.26%),术中出血量、置管所需时间显著多于心电图组(P<0.05,P<0.01)。结论 B超联合心电图定位法应用于血液科患者PICC置管,可提高导管末端一次性到位率,减少术中出血量。Objective To investigate the safety and effectiveness of type B ultrason combined with electrocardiography （ECG） on PICC insertion in patients from the department of hematology. Methods A total of 150 patients with hematological diseases were randomly divided into a control group and an observation group. Type 13 ultrasonography guided PICC insertion was conducted in the control group, while type B ultrasonography combined with ECG guided PICC insertion was performed in the observation group. The position of tip of catheter was judged by the change of P wave. Results The rate of successful catheterization （88.00% ） in the control group was significantly lower than that in the observation group （97.26%） ;the amount of bleeding and length of catheterization were more in the control group than in the observation group （P〈0.05 ,P〈0. 01）. Conclusion Type-B ultrasonography combined with ECG to guide PICC insertion in patients with hematological diseases could enhance the rate of successful catheterization and lessen procedural bleeding.

关 键 词：血液疾病 PICC B超 腔内心电图定位法 X线 导管异位 

分 类 号：R472[医药卫生—护理学]