改良袖带装置与止血带行PICC置管在老年肿瘤消瘦患者中的对比研究  

A comparative study of PICC catheterization with modified cuff device and tourniquet in elderlytumor emaciated patients

作　　者：陈会[1] 马丽[2] CHEN Hui;MA Li(Department of Radiotherapy,Xuzhou Central Hospital,Xuzhou,Jiangsu 221009,China;Department ofTumor Surgery,Xuzhou Central Hospital)

机构地区：[1]徐州市中心医院放疗科,江苏徐州221009 [2]徐州市中心医院肿瘤外科

出　　处：《徐州医科大学学报》2020年第1期68-71,共4页Journal of Xuzhou Medical University

基　　金：国家自然科学基金(81572349);徐州市科技计划(KC16SH074,KC16SH029)。

摘　　要：目的探讨自主设计的改良血压计袖带装置在老年肿瘤消瘦患者中行经外周静脉置入中心静脉导管(periphrally inserted central catheter,PICC)的应用价值。方法选取徐州市中心医院60例体重指数(BMI)<18.0 kg/m 2的老年肿瘤消瘦患者,完全随机分成试验组、对照组各30例。试验组采用改良血压计袖带装置在超声引导下行PICC置管;对照组采用止血带法在超声引导下行PICC置管。对2组的相关指标进行比较。结果试验组一次穿刺成功率(93.3%)明显高于对照组(26.7%)(P<0.01);一次置管成功率(93.3%)明显高于对照组(60.0%)(P<0.05);试验组穿刺成功时间(41.0±7.1)min明显低于对照组(84.6±43.0)min(P<0.01);试验组患者穿刺后1个月内机械性静脉炎、血栓以及导管感染的发生率均低于对照组(P<0.05)。结论改良血压计袖带装置在老年肿瘤消瘦患者中行超声引导下PICC置管,能提高一次穿刺及置管成功率,缩短穿刺时间,且可有效避免并发症的发生,值得大力推行。ObjectiveTo explore the application of modified sphygmomanometer cuff device in elderly patients with tumor emaciation during peripherally inserted central catheter(PICC)catheterization.MethodsA total of 60 elderly tumor emaciated patients with BMI less than 18.0 kg/m^2 were selected from Xuzhou Central Hospital.They were randomly divided into an experimental group and a control group(30 cases in each).In the experimental group,the modified sphygmomanometer cuff device was used for PICC catheterization guided by ultrasound.Meanwhile,in the control group,the tourniquet method was used for PICC catheterization guided by ultrasound.The two groups were compared for relevant indicators.ResultsThe success rate of one-time puncture in the experimental group(93.3%)was significantly higher than that in the control group(26.7%)(P<0.01).The success rate of primary catheterization(93.3%)was significantly higher than that of the control group(60.0%)(P<0.05).The successful time of puncture in the experimental group[(41.0±7.1)min]was significantly lower than that in the control group[(84.6±43.0)min](P<0.01).The incidence of mechanical phlebitis,thrombus and catheter infection in the experimental group was lower than that in the control group(P<0.05).ConclusionsThe modified sphygmomanometer cuff device can improve the success rate of one-time puncture and catheterization guided by ultrasound,save the time of puncture,and effectively avoid the occurrence of complications,which is worth promoting.

关 键 词：改良袖带装置 消瘦患者 经外周静脉置入中心静脉导管 成功率 

分 类 号：R473.73[医药卫生—护理学]