Seldinger技术与传统PICC置管术应用比较  

PICC Seldinger technique and traditional tube insertion.we Used to compare

作　　者：罗昭梅[1] 

机构地区：[1]贵州航天医院肺一科,贵州563000

出　　处：《安徽卫生职业技术学院学报》2016年第4期160-161,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:比较超声实时引导下改良Seldinger技术与传统经外周静脉穿刺置入中心静脉导管(PICC)置管术在肿瘤患者中的应用效果。方法:将116例拟实施PICC置管化疗的肺癌患者随机分为观察组(58例)和对照组(58例),观察组是采用超声实时引导下的改良Seldinger技术穿刺置管,对照组采用传统方法置管。结果:观察组和对照组的一次性穿刺成功率、一次置管成功率、机械性静脉炎和血栓形成比较差异均有统计学意义(P<0.05),但在穿刺点渗血方面差异无统计学意义(P>0.05)。结论:超声实时引导下改良Seldinger技术行PICC置管一次成功率高,并发症少,值得在肿瘤患者化疗中进行推广。purpose：to compare the ultrasonic guided by real-time modified Seldinger technique and traditional via peripheral venous puncture in central venous catheter（PICC） tube insertion.we application effect in cancer patients.Methods：116 cases of quasi implementation of PICC catheter chemotherapy in lung cancer patients were randomly divided into observation group（58 cases） and control group（58 cases）,the observation group USES the modified Seldinger technique guided by ultrasound real-time,tube control group using traditional methods.Results：the observation group and control group of one-time success rate of puncture,a success rate of catheter,mechanical phlebitis thrombosis and comparative differences are statistically significant（P〈0.05）,but there was no statistically significant difference in terms of the puncture point ooze blood（P〈0.05）.Conclusion：ultrasound guided by realtime modified Seldinger technique line of PICC catheter into a high power,fewer complications,is worth popularizing in cancer chemotherapy.

关 键 词：肺癌 超声引导 改良Seldiger技术 PICC 

分 类 号：R472[医药卫生—护理学]