带涤纶套带隧道导管置管专用体表标记尺的设计与临床应用  

Design and Clinical Application of a Landmark-based Ruler for Tunneled Cuffed Catheter

作　　者：谢希[1,2] 田卫群[1] 李六生[2] 闫志群[2] XIE Xi;TIAN Wei-qun;LI Liu-sheng;YAN Zhi-qun(College of Basic Medical, Wuhan University, Wuhan Hubei 430071, China;Department of Nephrology, Three Gorges University People’s Hospital, Yichang Hubei 443000, China)

机构地区：[1]武汉大学基础医学院,湖北武汉430071 [2]湖北宜昌市三峡大学人民医院肾内科,湖北宜昌443000

出　　处：《中国医疗设备》2017年第8期90-92,95,共4页China Medical Devices

基　　金：宜昌市科技研究与开发项目(A15301-20)

摘　　要：目的观察一种实用新型专利"长期中心静脉置管体表标记尺"应用于血液透析患者在进行带涤纶套带隧道导管置管过程中的效果。方法回顾性分析我院施行带涤纶套带隧道导管置管术的62例患者,随机分为观察组和对照组,各31例。观察组采用专利标记尺,术前用记号笔进行体表标记;对照组采用术中直接用导管比对,观察两组患者置管手术时间、一次导管位置成功率、透析血流量及患者对导管出口位置的满意度的情况。结果观察组手术时间较对照组比较明显缩短,分别为(24.8±2.97)min和(31.7±4.89)min,差异有统计学意义(P<0.05),且导管置入血管中的目标位置首次成功率高达96.8%,与对照组的80.6%相比差异有统计学意义(P<0.05),观察组患者对导管出口位置的满意度评分大于对照组,分别为(3.89±0.88)分和(3.25±0.64)分,差异有统计学意义(P<0.05)。结论带涤纶套带隧道导管置管体表标记尺能使置管过程更为安全、高效和顺利,应用效果满意,值得临床推广。Objective To explore the effectiveness of the newly developed patent,landmark-based ruler for long-term central venous catheterization,in tunneled cuffed catheter of hemodialysis patients.Methods Sixty-two patients were randomly and evenly divided into two groups,the control group(n=31)and the experimental group(n=31).The patent ruler was used before operation for the experimental group,while catheter was used during operation for the control group.The amount of time required for the operation,the first attempt success rate,the blood volume during hemodialysis and the patient satisfaction with the position of catheter exit site were recorded for both groups.Results Mean time of operation for the experimental group was(24.8±2.97)minutes vs.(31.7±4.89)minutes for the control group(P<0.05).The first attempt success rate in the experimental group was96.8%vs.80.6%in the control group(P<0.05).The patient satisfaction score was(3.89±0.88)in the experimental group vs.(3.25±0.64)in the control group(P<0.05).Conclusion The landmark-based ruler for tunneled cuffed catheter makes the catheterization safer and more efficient by decreasing the amount of time required for operation,while enhancing the first time success rate and the patient satisfaction score.Thus it is worthy of clinical application.

关 键 词：标记尺 带涤纶套带隧道导管 血液透析 硅胶管 

分 类 号：R473[医药卫生—护理学]