握力球压迫法预防PICC颈内静脉异位的效果评价  

Effect of ball compression to prevent jugular vein malposition in peripherally inserted central catheter insertion

作　　者：张月娇[1] 王千米[1] 赵锐祎[2] 孙红玲[1] 江南[1] Zhang Yuejiao;Wang Qianmi;Zhao Ruiyi;Sun Hongling;Jiang Nan(Specialized Nursing Department,Second Affiliated Hospital,Zhejiang University,School of Medicine,Hangzhou 310009,China;Nursing Education Department,Second Affiliated Hospital,Zhejiang University,School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院静脉输液专科,杭州310009 [2]浙江大学医学院附属第二医院护理教育部,杭州310009

出　　处：《中国实用护理杂志》2019年第23期1810-1814,共5页Chinese Journal of Practical Nursing

摘　　要：目的探索橄榄形握力球压迫法在预防PICC置管中颈内静脉异位的应用效果.方法采用便利抽样法,选取浙江大学医学院附属第二医院2017年10月至2018年9月的PICC置管患者1 358例,其中试验组681例,对照组677例,对照组在PICC置管过程中采用传统的偏头法或指压法阻断颈内静脉入口来预防PICC颈内静脉异位,试验组则采用橄榄形握力球压迫法阻断颈内静脉入口,观察2组患者一次送管颈内静脉异位的发生率.结果试验组一次送管PICC颈内静脉异位率为19.1%(130/681),对照组为23.5%(159/677),差异有统计学意义(χ^2=3.917,P=0.048).结论使用橄榄形握力球压迫法能有效地降低一次送管PICC颈内静脉异位率.Objective To detect the effect of the ball compressor method to prevent jugular vein malposition in peripherally inserted central catheter insertion (PICC). Methods Convenient sampling method was used to recruit 1 358 patients with PICC insertions during October 2017 to September 2018 in Second affiliated hospital Zhejiang University, school of medicine. 681 were included in experimental group, and 677 patients were included in control group. The control group used traditional turning head to the PICC insertion side or fingers compression to block the entrance of jugular vein to prevent jugular vein malposition in control group. While in experimental group, rugby- shape ball compression were used to block jugular vein to reduce jugular vein malposition. The rate of jugular vein malposition in the first try of catheterization was calculated in both groups. Results The rate of jugular vein malposition in the first try of catheterization was 19.1%(130/681) in experimental group and 23.5%(159/677) in control group respectively. There is statistically significant difference between two groups (χ^2=3.917, P=0.047 8). Conclusion Rugby- shape ball compression could reduce jugular vein malposition in the first try of catheterization effectively.

关 键 词：握力球压迫法 PICC 颈内静脉异位 

分 类 号：R472[医药卫生—护理学]