心电定位在极低体重儿PICC置管中的应用探讨  

Application of ECG localization in PICC catheter placement in very low birth weight infants

作　　者：吴丽元[1] 赵丽萍[1] 汪琴 彭敏[1] 曹甜[1] 邓艳红[1] 

机构地区：[1]中南大学湘雅二医院,长沙410011

出　　处：《当代护士（下旬刊）》2018年第2期3-6,共4页Modern Nurse

摘　　要：目的探讨心电定位技术对极低体重儿PICC置管中精准定位导管尖端位置的意义。方法选取2015年7月-2016年6月在本院住院且符合PICC置管指征的116例极低体重儿,将其随机分为对照组和心电定位组各58例,分别采用单一置管完成后的X线定位和心电定位技术置入PICC,比较两组一次穿刺尖端到位率及导管相关性并发症发生率。结果心电定位组一次穿刺尖端到位率为96.55%,明显高于对照组的62.06%,且差异具有统计学意义(P<0.05);两组在导管相关性并发症发生率方面差异无统计学意义(P>0.05)。结论心电定位技术将置管操作和定位这两项操作集中在床旁一次完成,无需X线检查判断导管位置,对提高极低体重儿PICC置管成功率、减少并发症发生及尖端位置的动态监测有非常重要的作用。Objective To investigate the significance of ECG localization technique in precise positioning of catheter tip position in PICC catheter for very low birth weight infants.Methods 116 very low birth weight infants with PICC indications collected from July 2015 to June 2016 in our hospitalwere randomly divided into control group （58 cases）and ECG group （58 cases）.Chest X-ray was used to confirm the pe- ripheral inserted central catheter tip location for patients in control group while ECG method was applied for patients in ECG group.Compare the catheter in place rate and PICC-related complication between control group and ECG group.Results The catheter in best place rate was 96.55%, higher than the control group（ 62106% ）, and the difference was statistically significant （P〈0.05） ;the two groups in the incidence of catheter-related complications had no significant difference （P〉0.05）.Conclusion Catheter and location bedside can be completed at the same time by the ECG method.And chest X-ray is unnecessary.h has great significance for very low birth weight infants to improve the cathe- ter in place, reduce PICC-related complications and dynamically detect tip location.

关 键 词：心电定位 极低体重儿 PICC 导管尖端位置 

分 类 号：R473.72[医药卫生—护理学]