锁骨与第一肋骨间隙张开装置在PICC置管中的应用效果  

Application effects of expander between collarbone and first rib space in PICC

作　　者：张鸿雁[1] 郝春艳[2] 吕秀春[3] 姜珊[4] 王仙珍[1] Zhang Hongyan Hao Chunyan Lyu Xiuchun Jiang Shan Wang Xianzhen(Department of Tumor and Hematology, China-Japan Union Hospital, Jilin University, Changchun 130031, China （ Zhang HY, Wang XZ NursingDepartment, China-Japan Union Hospital, Jilin University, Changchun 130031, China （ Hao CY Emergency Department, China-Japan Union Hospital, Jilin University, ＇Changchun 130031, China （ Lyu XC Department of Nep.hrology and Rheumatology, China- Japan Union Hospital, Jilin University, Changchun 130031, China （ Jiang S)

机构地区：[1]吉林大学中日联谊医院肿瘤血液科,长春130031 [2]吉林大学中日联谊医院护理部 [3]吉林大学中日联谊医院急诊科 [4]吉林大学中日联谊医院肾风湿科

出　　处：《中华现代护理杂志》2016年第13期1908-1911,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨锁骨与第一肋骨间隙张开装置在PICC置管中的应用效果。方法选择2014年4月—2015年4月行PICC置管的化疗患者120例，采用随机数字表法分为对照组54例和观察组66例，对照组采用常规置管方法，观察组将自行设计的锁骨与第一肋骨间隙张开装置应用于置管过程中。比较两组一次性置管成功率、一次性穿刺成功率、操作时间、导管异位、机械性静脉炎和感染的发生率。结果观察组一次性置管成功率、一次性穿刺成功率、操作时间均优于对照组，差异有统计学意义（P〈0．05）；两组患者导管异位、机械性静脉炎和感染的发生率比较，差异有统计学意义（P〈0．05）。结论锁骨与第一肋骨间隙张开装置能有效降低PICC置管并发症的发生率，提高了PICC置管效果。Objective To observe the application effects of expander between collarbone and first rib space in Peripherally Inserted Central Catheter （PICC）. Methods A total of 120 PICC patients with chemotherapy were recruited from April 2014 to April 2015 and were divided into control group （54 cases, routine tube） and observation group （66 cases, self-designed expander between collarbone and first rib space） according to the method of random number table. And＇ then, we compared the success rate of tubing and puncturing at once, operation time, catheter misplacement, mechanical phlebitis, the incidence of infection between two groups. Results The success rates of tubing and puncturing at once, operation time in observation group were better than those in control group with significant differences （ P 〈 0.05 ）. There were statistically significant differences in catheter misplacement, mechanical phlebitis, the incidence of infection of patients between two groups （P 〈 0.05 ）. Conclusions The expander between collarbone and first rib can effectively decrease the incidence of complications and improve the effects of PICC.

关 键 词：革新推广 PICC 张开装置 锁骨与第一肋骨间隙 置管效果 

分 类 号：R472[医药卫生—护理学]