双腔耐高压PICC和CVC对ICU患者的价值  

The Value of Dual-chamber High-pressure PICC and CVC in Patients With ICU

作　　者：李晓敏 LI Xiaomin(ICU, Guangzhou City First People's Hospital, Guangzhou Guangdong 510000, China)

机构地区：[1]广州市第一人民医院重症监护室

出　　处：《中国继续医学教育》2019年第21期109-111,共3页China Continuing Medical Education

摘　　要：目的探究双腔耐高压注射型经外周置入中心静脉导管(PICC)与双腔中心静脉导管(CVC)在重症监护患者中的应用效果。方法回顾性分析2017年1月—2019年1月于我院重症监护室中行静脉置管术患者资料,共136例。依据使用置管术类型,将其分为PICC组(68例)与CVC组(68例)。对比、分析两组患者导管留置时间、单导管治疗情况以及并发症发生情况。结果PICC组导管留置时间长于CVC组,差异具有统计学意义(P<0.05);PICC组单根导管治疗成功率高于CVC组,差异具有统计学意义(P<0.05);PICC组并发症发生率低于CVC组,差异具有统计学意义(P<0.05)。结论双腔耐高压PICC在重症监护患者中应用的安全性及有效性明显高于双腔CVC置管术。Objective To explore the application effect of double gun highpressure injectable central venous catheter (PICC) and double cava central venous catheter (CVC) in intensive care patients. Methods A retrospective analysis was made of 136 patients who underwent venous catheterization in the intensive care unit of our hospital from January 2017 to January 2019. According to the type of catheterization, they were divided into PICC group (68 cases) and CVC group (68 cases). The catheter retention time, single catheter treatment and complications were compared and analyzed between the two groups. Results The indwelling time of catheter in PICC group was longer than that in CVC group, the difference was statistically significant (P < 0.05). The success rate of single catheter treatment in PICC group was higher than that in CVC group, the difference was statistically significant (P < 0.05). The incidence of complications in PICC group was lower than that in CVC group, the difference was statistically significant (P < 0.05). Conclusion The safety and effectiveness of double-chamber high-pressure PICC in ICU patients are significantly higher than that of double-chamber CVC catheterization.

关 键 词：双腔中心静脉导管 经外周静脉穿刺中心静脉置管 重症监护室 单导管治疗情况 导管留置时间 并发症 

分 类 号：R472[医药卫生—护理学]