改良型中等长度导管在肠外营养患者中的应用  

Application cases of improved midline catheters in patients with parenteral nutrition

作　　者：喻婷[1] 刘文文[1] YU Ting;LIU Wen-wen(The First Affiliate Hospital of Chongqing Medical University,Chongqing,400016,China)

机构地区：[1]重庆医科大学第一附属医院胃肠外科,重庆400016

出　　处：《中国处方药》2019年第1期137-138,共2页Journal of China Prescription Drug

摘　　要：目的总结肠外营养患者应用改良型中等长度导管的经验,为临床输液治疗提供技术指导。方法回顾性总结了重庆市某三甲医院胃肠外科从2017年02月～2017年10月,采用超声引导下结合塞丁格技术行改良中等长度导管穿刺置管的322例患者资料,对置管长度、耗时、留置时间及并发症、舒适度进行统计分析。结果 322例患者的穿刺成功率100%,置管长度为22～28 cm,平均(26.7±0.9)cm,置管耗时20～65 min,平均(37.9±9.4)min,留置时间2～43 d,平均(12.1±6.9)d,共发生导管并发症11例,占留置导管患者数的3.4%,患者满意度98.7%。结论改良型中等长度导管应用于肠外营养患者,置管成功率高,并发症少、患者舒适度及满意度高。Objective To summarize the experience of using modified medium length catheter in parenteral nutrition patients and provide technical guidance for clinical infusion therapy.Methods The data of 322 patients who were implemented with improved midline catheters from February to October in 2017 in gastrointestinal surgery of some Chongqing hospital were reviewed and analyzed.The length,time consumption and indwelling time of the catheter,and complications and comfort of patients were statistically analyzed.Results One-time puncture success rate was up to 100%,and the catheter length was 22~28(26.7±0.9) centimeters,time consumption was 20~65(37.9±9.4) minutes,indwelling time is 2~43(12.1±6.9) day,and complications number was 11.Conclusion Improved midline catheters have higher success rate,less complications,better comfort and satisfaction for patients,therefore,it is worthy of promotion in patients with parenteral nutrition.

关 键 词：改良型中等长度导管 肠外营养 应用 

分 类 号：R472[医药卫生—护理学]