超声引导下改良塞丁格穿刺法在PICC置管化疗的血液肿瘤患者中的应用  

Application of Modified Sedinger Puncture under Ultrasound Guidance in Patients with Hematological Tumors Undergoing PICC Catheterization Chemotherapy

作　　者：吕淑新 龙优花 朱璇 柳静静 LYU Shuxin;LONG Youhua;ZHU Xuan;LIU Jingjing(Department of Rehabilitation and Hematology of Traditional Chinese Medicine,People's Hospital of Nanhai District,Foshan,Guangdong Province,528200 China)

机构地区：[1]佛山市南海区人民医院中医康复血液科,广东佛山528200

出　　处：《中外医疗》2021年第29期191-194,共4页China & Foreign Medical Treatment

基　　金：佛山市自筹经费科技计划项目(201710210054)。

摘　　要：目的探究超声引导下改良塞丁格穿刺法在经外周静脉中心静脉置管(PICC)化疗的血液肿瘤患者中的应用。方法随机选择2017年1月—2018年12月来该院就诊需化疗行PICC置管的血液肿瘤患者70例,采取随机数表法分成观察组和对照组,各35例。对照组行传统PICC置管法,观察组在超声引导下改良赛丁格技术行PICC置管法,比较两组一次置管成功率、操作时间、置管人均费用、并发症发生情况及舒适度。结果观察组一次置管成功率97.14%、置管人均费用(2213.56±7.81)元均高于对照组,两组比较差异有统计学意义(χ^(2)=3.968,t=294.357,P<0.05),操作时间(17.35±1.14)min短于对照组,差异有统计学意义(P<0.001);观察组穿刺点出血、静脉炎、血栓、导管异位等并发症发生率为5.71%低于对照组25.71%,差异有统计学意义(χ^(2)=5.285,P=0.022);观察组的舒适度优于对照组,差异有统计学意义(P<0.05)。结论对血液肿瘤患者行超声引导下改良塞丁格PICC置管较传统PICC置管能提高成功率,缩短操作时间,减轻并发症发生,提高患者舒适度。Objective To explore the application of modified Sedinger puncture under ultrasound guidance in patients with hematological tumors undergoing chemotherapy through peripheral central venous catheterization(PICC).Methods Seventy hematological tumor patients who came to the hospital from January 2017 to December 2018 who needed chemotherapy and received PICC catheterization were random selected and divided into observation group and control group by random number table method,with 35 cases in each group.The control group underwent traditional PICC catheterization,and the observation group underwent the PICC catheterization method under ultrasound guidance with modified Sedinger technique.The success rate of one-time catheterization,operation time,per capita catheterization cost,complications,and comfort level were compared between the two groups.Results The success rate of one-time catheterization in the observation group was 97.14%,and the per capita cost of catheterization(2213.56±7.81)yuan was higher than that of the control group.The difference between the two groups was statistically significant(χ^(2)=3.968,t=294.357,P<0.05),the operation time(17.35±1.14)min was shorter than that of the control group,the difference was statistically significant(P<0.001);the incidence of complications such as puncture point bleeding,phlebitis,thrombosis,and catheter ectopic position in the observation group was 5.71%lower than that of the control group 25.71%,and the difference was statistically significant(χ^(2)=5.285,P=0.022);the comfort of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with traditional PICC catheterization,improved Sedinger PICC catheterization for patients with hematological tumors can increase the success rate,shorten the operation time,reduce complications,and improve patient comfort.

关 键 词：超声 改良塞丁格穿刺法 经外周静脉中心静脉置管 

分 类 号：R472[医药卫生—护理学]