超声引导下应用Seldinger技术行PICC置管的效果评价  

Evaluation of ultrasound guided PICC catheterization via seldinger menthod

作　　者：张玉蓉[1] ZHANG Yurong(Department of Comprehensive Treatment, Inner Mongolia Medical University, Hohhot, 010050, China)

机构地区：[1]内蒙古医科大学附属医院综合治疗室,呼和浩特010050

出　　处：《临床心血管病杂志》2016年第12期1195-1197,共3页Journal of Clinical Cardiology

摘　　要：目的:探讨在超声引导下改良Seldinger技术行外周静脉置入中心静脉导管(PICC)的临床应用价值。方法:选择我院住院需行PICC置管的患者300例作为观察对象,随机设为观察组(150例)和对照组(150例)。观察组患者采用超声引导下改良Seldinger技术行PICC置管,对照组采用传统穿刺法进行PICC置管。观察记录2组贵要静脉使用情况、导管末端位置、留置时间、并发症发生情况,评价2组穿刺、置管的一次性成功率。结果:观察组一次性穿刺成功率99.3%(149/150),一次性置管成功率98.7%(148/150),总置管成功率100%,贵要静脉使用率95.3%(143/150),导管末端位于上腔静脉的比例94.7%(142/150),均显著高于对照组(均P<0.05);观察组导管留置时间(151±17)d亦明显较对照组延长(P<0.05);观察组静脉血栓、机械性静脉炎及周围组织损伤的发生率均显著低于对照组(均P<0.05),穿刺点渗血及导管相关感染发生率比较,两组无显著差异性。结论:PICC置管在超声引导下应用改良Seldinger技术,可显著提高置管成功率,具有较高的临床应用价值。Objective：To evaluate the therapeutic values of ultrasound guided PICC catheterization via seldinger menthod.Method：Atotal of 150 patients undergoing ultrasound guided PICC catheterization via improved seldinger menthod was included into observation group,and 150 patients undergoing conventional PICC catheterization were included into control group.Result：The success rate of primary puncture was 99.3%（149/150）,success rate of primary implanting was 98.7%（148/150）,utilization rate of basilic vein was 95.3%（143/150）,and rate of end of the tube at the superior vena cava was 94.7%（142/150）in observation group,and all were significantly increased than those in control group（all P〈0.05）.The retention time in observation group was（151±17）days and significantly longer than that in control group（P〈0.05）.The rate of embolism and infection in observation group were significantly lower than those in control group（both P〈0.05）.There were no significantly difference on bleeding and catheter-related infection between the two groups.Conclusion：Ultrasound guided PICC catheterization under seldinger menthod can significantly increase the success rate of catheterization.

关 键 词：超声引导 改良SELDINGER技术 PICC置管 

分 类 号：R445[医药卫生—影像医学与核医学]