PICC和SVP应用于慢性心力衰竭患者中的临床效果分析  

Analysis of the clinical effect of PICC and SVP on patients with chronic heart failure

作　　者：衣永生 YI Yong-sheng(Donggang Central Hospital,Dandong 118300,China)

机构地区：[1]东港市中心医院,118300

出　　处：《中国现代药物应用》2021年第18期29-31,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察经外周静脉穿刺中心静脉置管(PICC)和锁骨下静脉置管(SVP)在慢性心力衰竭患者治疗中的临床效果。方法97例慢性心力衰竭患者,根据静脉置管方式的不同分为对照组(41例)及研究组(56例)。对照组选用SVP治疗,研究组选用PICC治疗。比较两组患者的置管时间、一次置管成功率及不良事件发生情况。结果研究组置管时间、平均置管时间明显短于对照组,差异有统计学意义(P<0.05)。研究组一次置管成功率94.6%明显高于对照组的78.0%,差异有统计学意义(P<0.05)。研究组不良事件发生率14.3%明显低于对照组的31.7%,差异有统计学意义(P<0.05)。结论PICC在慢性心力衰竭治疗中有着操作方便、不良事件少等优点,PICC更有技术前景和临床应用价值。Objective To observe the clinical effect of peripherally inserted central catheter(PICC)and subclavian vein puncture(SVP)on patients with chronic heart failure.Methods A total of of 97 patients with chronic heart failure were divided into a research group(56 cases)and a control group(41 cases)according to the different ways of venous catheterization.The control group was treated with SVP,and the research group was treated with PICC.The catheterization time,the success rate of one-time catheterization and the occurrence of adverse events were compared between the two groups.Results The catheterization time and average catheterization time in the research group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).The success rate of one-time catheterization in the research group was 94.6%,which was significantly higher than 78.0%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse events 14.3%in the research group was significantly lower than 31.7%in the control group,and the difference was statistically significant(P<0.05).Conclusion PICC has the advantages of easy operation and few adverse events in the treatment of chronic heart failure,and PICC has more technical prospects and clinical application value.

关 键 词：慢性心力衰竭 经外周静脉穿刺中心静脉置管 锁骨下静脉置管 临床效果 

分 类 号：R541.6[医药卫生—心血管疾病]