依据患者身高加不同数字的体表测量方法对PICC到位率的效果观察  

Effects of measurement method of body surface according to the body height of patients plus different numbers on PICC ideal arrival location rate

作　　者：朱玉欣[1] 张欣[1] 刘朝兴[1] 刘富德[1] 尹欣欣[1] 赵伟娟 ZHU Yuxin;ZHANG Xin;LIU Zhaoxing(Department of Oncology,The First Hospital of Shijiazhuang City,Hebei, Shijiazhuang 050051,China)

机构地区：[1]河北省石家庄市第一医院肿瘤二科

出　　处：《河北医药》2019年第11期1749-1752,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题指令性课题(编号:20150165)

摘　　要：目的探讨依据患者身高添加不同数字的体表测量方法对中心静脉导管(PICC)理想位置到位率的效果观察。方法采用随机数字法将PICC置管的316例患者分为观察组和对照组,观察组211例采用新的体表测量方法,即从预穿刺点到右胸锁关节,根据患者身高再加数字5~8 cm,为预置入导管长度;对照组105例采用常规"横L法"测量预置入导管的长度,比较2组PICC尖端到位率。结果观察组测量方法的置管长度短于对照组(F=74.926,P=0.000);观察组测量方法到位率高于对照组差异均有统计学意义(χ~2=232.880,P=0.000)。结论采用依据身高加数字的PICC体表测量方法,可相对准确测量预置入导管的长度,减少体外导管的预留长度,降低调管的次数,提高导管尖端的到位率,便于导管留置期间的维护,降低其并发症的发生。Objective To investigate the effects of measurement method of body surface according to the body height of patients plus different numbers on peripherally insert central catheters(PICC) ideal arrival location rate.Methods A total of 316 patients who underwent PICC were divided into observation group(n=211) and control group(n=105) according to random digital method random group.The length of pre-set into catheter was measured by measurement method of body surface in observation group,ie.from pre puncture points to right chest lock joint, addeing 5~8 cm according to patient’s body height,however, the length of pre-set into catheter was measured by conventional "across L method" in control group,then the PICC pointed end arrival location rate was compared between the two groups.Results The length of pre-set into catheter in observation group was significantly shorter than that in control group(F=74.93,P<0.01),moreover, the arrival location rate in observation group was significantly higher than that in control group(χ~2=232.880,P<0.01).Conclusion The measurement method of body surface according to the body height of patients plus different numbers can accurately measure the length of the pre-set catheter,reduced the reservation length of body outer catheter,reduce the frequency of adjusting pipe,increase the arrival location rate of PICC pointed end and reduce the incidence of the complications.

关 键 词：PICC 体表测量方法 预置入导管长度 到位率 X线胸片定位 

分 类 号：R472[医药卫生—护理学]