超声引导下锁骨下静脉PICC置放术应用分析  

Analysis of Ultrasound-guided PICC Placement of Subclavian Vein

作　　者：马健[1] 

机构地区：[1]吉林省人民医院血液内科,吉林长春130021

出　　处：《中国卫生标准管理》2017年第24期155-156,共2页China Health Standard Management

基　　金：吉林省卫生计生适宜技术推广项目(名称:彩超下赛丁格技术在锁穿中的应用推广编号:2016S014)

摘　　要：目的对锁骨下静脉PICC置放术中应用超声引导技术所产生的各方面效果予以研究。方法选取60例拟行锁骨下静脉PICC置放术治疗的患者,将之划分为各30例的观察组和对照组,对前者采取超声动态引导下穿刺,都后者则以传统的盲穿方法处理,对其应用效果做出相应的观察。结果在并发症的检出率、首次置入PICC的成功率、首次穿刺的成功率之类的比较方面,观察组体现出优势,差异具有统计学意义(P<0.05)。结论穿刺的成功率可因超声引导下静脉PICC置放术而获得提升,并由此降低穿刺并发症的发生率,同时效果确切且安全。Objective To study the effect of ultrasound-guided PICC placement in subclavian vein. Methods 60 cases underwent subclavian vein PICC placement were divided into 30 cases of the observation group and 30 cases of the control group, the observation group underwent dynamic ultrasonic guided puncture, the control group underwent traditional blind puncture, the effect was observed. Results The detection rate of complications, the first time success rate of PICC, the first time puncture success rate in the observation group had obvious advantages, and the difference was statistic significant （P 〈 0.05）. Conclusion The success rate of puncture can be improved through ultrasound-guided PICC placement, and thus reduce the incidence of complications of puncture, and the effect is accurate and safe.

关 键 词：超声引导 锁骨下静脉 PICC置放术 

分 类 号：R473[医药卫生—护理学]