探讨腔内心电图定位PICC导管尖端的临床效果  

To explore the clinical effect of intraluminal electrocardiogram in locating the tip of PICC catheter

作　　者：罗昭梅[1] LUO Zhao-mei(Guizhou Aerospace Hospital,Zunyi 563000,Guizhou)

机构地区：[1]贵州航天医院

出　　处：《安徽卫生职业技术学院学报》2019年第6期37-38,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:在PICC导管尖端定位中采取腔内心电图,分析其临床效果。方法:88例PICC患者采取随机平均的方法将其分为对照组和观察组,其中对照组接受常规PICC置管方法后进行胸部正位X线摄片,观察组在常规置管的基础上结合腔内心电图,在对其进行胸部正位X线摄片,对其导管尖端一次到位情况、出现异位的情况以及不良情况发生率进行比较。结果:观察组导管尖端一次到位的数量多于对照组,且观察组出现异位以及不良反应的数量少于对照组(P<0.05)。结论:PICC置管的患者可以配合使用腔内心电图,其一次成功率较高,且不会引发过多的不良反应。Objective:To analyze the clinical effect of intraluminal electrocardiogram (ECG) in PICC catheter tip localization.Methods:88 patients with PICC received in hospital were randomly divided into control group and observation group.The control group received routine PICC catheterization and then received chest ortho-radiography.The observation group took chest ortho-radiography on the basis of routine catheterization combined with intraluminal electrocardiogram,then took chest ortho-radiography and put the tip of the catheter in place once.The situation,ectopic situation and the incidence of adverse conditions were compared.Results:The number of catheter tip in the observation group was more than that in the control group,and the number of ectopic and adverse reactions in the observation group was less than that in the control group (P<0.05).Conclusion:For patients undergoing PICC catheterization,intraluminal electrocardiogram can be used in conjunction with a higher one-time success rate without causing too many adverse reactions.

关 键 词：PICC置管技术 尖端 腔内心电图 

分 类 号：R471[医药卫生—护理学]