超声导引下PICC置管与盲穿置管在结核患者中的临床应用效果  

Clinical effect of ultrasound-guided PICC catheterization and blind catheterization in patients with tuberculosis

作　　者：杜丹 DU Dan(Jinzhou Infectious Disease Hospital,Jinzhou 121000,China)

机构地区：[1]锦州市传染病医院,121000

出　　处：《中国现代药物应用》2021年第4期67-69,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨超声导引下经外周静脉穿刺中心静脉置管(PICC)与盲穿置管在结核患者中的临床应用效果。方法140例需行PICC置管治疗的结核患者为研究对象,采用随机数字表法分为对照组与观察组,各70例。观察组患者实施超声导引下PICC置管,对照组患者实施盲穿PICC置管。比较两组患者的一次穿刺成功率、一次置管成功率、置管时间,置管后的并发症发生情况,满意度。结果观察组患者的一次穿刺成功率为97.1%、一次置管成功率为97.1%,均高于对照组的81.4%、71.4%,置管时间(180±8.9)s短于对照组的(272±15.4)s,差异均具有统计学意义(P<0.05)。观察组患者置管后的并发症发生率为4.3%(3/70),低于对照组的17.1%(12/70),差异具有统计学意义(P<0.05)。观察组患者的满意度97.1%高于对照组的81.4%,差异具有统计学意义(P<0.05)。结论超声导引下PICC置管效果优于盲穿法,可提高一次穿刺、置管成功率,减轻穿刺痛苦,同时可缩短置管时间,降低置管后并发症,患者满意度升高,是结核患者输液时一种更适合的置管方式。Objective To discuss the clinical effect of ultrasound-guided peripherally inserted central catheter(PICC)and blind catheterization in patients with tuberculosis.Methods A total of 140 tuberculosis patients requiring PICC catheterization as study subjects were divided into control group and observation group according to random numerical table,with 70 cases in each group.The observation group was treated with ultrasound-guided PICC catheterization,and the control group was treated with blind catheterization.The one-time puncture success rate,one-time catheterization success rate,catheterization time,occurrence of complications after catheterization and satisfaction rate were compared between the two groups.Results The onetime puncture success rate and one-time catheterization success rate of the observation group were 97.1%and 97.1%,which were all higher than 81.4%and 71.4%of the control group,and catheterization time(180±8.9)s was shorter than(272±15.4)s of the control group,and the difference was statistically significant(P<0.05).The incidence of complications after catheterization of the observation group was 4.3%(3/70),which was lower than 17.1%(12/70)of the control group,and the difference was statistically significant(P<0.05).The satisfaction rate 97.1%of the observation group was higher than 81.4%of the control group,and the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided PICC catheterization has better effect than blind catheterization,which can improve the success rate of one-time puncture and catheterization,reduce the pain of puncture,as well as shorten the catheterization time,reduce the complications after catheterization,and increase patient satisfaction.It is a more suitable catheterization method for patients with tuberculosis.

关 键 词：超声导引 经外周静脉穿刺中心静脉置管 盲穿 结核 

分 类 号：R473.5[医药卫生—护理学]