超声引导下改良Seldinger技术与传统PICC置管技术的临床效果比较  

Clinical effects comparison between ultrasound-guided modified seldinger traditional technique of PICC

作　　者：钟春嫦[1] 王恩礼[1] 陈玉[1] 肖宏[1] 刘海英[1] 

机构地区：[1]南方医科大学附属深圳妇幼保健院乳腺甲状腺科,深圳市518028

出　　处：《护理实践与研究》2015年第12期137-139,共3页Nursing Practice and Research

摘　　要：目的:探讨超声引导下改良Seldinger外周中心静脉置管(PICC)技术与传统置管PICC置管技术在乳腺癌化疗中的临床效果。方法:将100例女性乳腺癌且化疗前行PICC术进行辅助治疗的女性患者随机等分为试验组和对照组,试验组采用超声引导下改良Seldinger PICC置管技术,对照组采用传统PICC置管技术,比较两组患者的置管成功率、并发症的发生率以及置管后的舒适度。结果:试验组1次置管成功率和患者置管后舒适度明显高于对照组,而术后穿刺点出血、局部血肿、置管后感染和机械性静脉炎发生率试验组明显低于对照组(P<0.05)。结论:超声引导下改良Seldinger PICC置管技术相比于传统置管技术置管成功率高,并发症少,减少患者痛苦,值得临床推广。Objective： To investigate Seldinger explore the peripherally inserted central catheter（ PICC） of ultrasound- guided technology with the traditional technique of PICC catheter clinical effect of chemotherapy in breast cancer. Methods： 100 patients and other women with breast cancer and chemotherapy before surgery PICC line adjuvant treatment were randomly divided into experimental group and control group,the experimental group improved the use of ultrasound- guided Seldinger PICC catheter technology,the control group used traditional PICC catheter technology,catheterization success rate between the two groups of patients,and the incidence of complications after catheterization comfort. Results： The experimental group catheterization success rate with 1 time and patient comfort was significantly higher,and postoperative bleeding puncture,local hematoma after catheter infection and mechanical phlebitis incidence experimental group was significantly lower than the control group（ P 〈 0. 05）. Conclusion： Ultrasound- guided modified Seldinger PICC catheter technology compared to conventional catheter technique catheterization success rate,fewer complications,reduce patient suffering,worthy of promotion.

关 键 词：超声 改良SELDINGER技术 PICC置管 

分 类 号：R473.73[医药卫生—护理学]