B超引导下改良塞丁格技术在老年肿瘤患者PICC置管中的临床应用价值  

The Clinical Application Value of Improved Seldinger Technique Under the Guidance of B-ultrasound in PICC Catheterization of Elderly Patients with Tumor and Cancer

作　　者：李颖 LI Ying(Yixian People’s Hospital,Jinzhou 121100,China)

机构地区：[1]锦州市义县人民医院,辽宁锦州121100

出　　处：《中国医药指南》2022年第15期9-12,共4页Guide of China Medicine

摘　　要：目的在老年肿瘤患者PICC置管中,实施B超引导下改良塞丁格技术,以此就临床应用价值进行探讨。方法选择2018年1月至2019年6月期间锦州市义县人民医院诊疗的80例老年肿瘤患者为研究对象,依据随机数字表法进行分组:对照组、观察组(每组病例数为40例)。两组患者均在治疗期间行PICC置管,其中,对照组采取传统PICC置管操作,观察组应用B超引导下改良塞丁格技术,比较两组的置管成功率及出血/皮下淤血、静脉血栓、机械性静脉炎、导管相关性感染等并发症发生率以及患者的满意度水平、心理状态与生活质量WHOQOL-BREF评分。结果观察组一次置管成功率为95.00%,高于对照组(80.00%),置管后导管脱出率为2.50%,低于对照组(15.00%),组间差异有统计学意义(P<0.05);观察组出血/皮下淤血、静脉血栓、机械性静脉炎、导管相关性感染发生率分别为2.50%、0、0、0,均低于对照组(15.00%、10.00%、10.00%、12.50%),差异显著(P<0.05);观察组的满意度(97.50%)高于对照组(77.50%),P<0.05;两组术前SAS评分、SDS评分指标对比,不具有统计学意义,P>0.05;观察组术后SAS评分、SDS评分均低于对照组,P<0.05;观察组的舒适度(95.00%)高于对照组(80.00%),P<0.05。对比患者的WHOQOL-BREF评分,两组术前指标无差异性,P>0.05;观察组术后指标高于对照组(P<0.05)。结论针对老年肿瘤患者,行PICC置管过程中,采取B超引导下改良塞丁格技术能够提高一次置管成功率,预防并发症发生,提升患者的满意度水平,值得借鉴。Objective To explore the clinical application value of the modified Sedinger technique under the guidance of B-ultrasound in PICC catheterization in elderly tumor patients.Methods A total of 80 elderly tumor patients treated by Jinzhou Yixian People’s Hospital from January 2018 to June 2019 were selected as the research objects,and were divided into groups according to the random number table method:the control group and the observation group(40 cases in each group).Both groups of patients underwent PICC catheterization during the treatment period.Among them,the control group was treated with traditional PICC catheterization operation,and the observation group was treated with the modified Seldinger technique under the guidance of B-ultrasound.The success rate of catheterization and bleeding/subcutaneous congestion were compared between the two groups.,venous thrombosis,mechanical phlebitis,catheter-related infection,and other complications,as well as patients’satisfaction level,psychological state,and quality of life WHOQOL-BREF score.Results The success rate of one-time catheter placement in the observation group was 95.00%,which was higher than that in the control group(80.00%).The catheter prolapse rate after catheter placement was 2.50%,which was lower than 15.00%in the control group,and the difference between the groups was statistically significant(P<0.05).The incidence rates of bleeding and subcutaneous congestion,venous thrombosis,mechanical phlebitis,and catheter-related infection in the group were 2.50%,0,0,and 0,respectively,which were lower than those in the control group(15.00%,10.00%,10.00%,and 12.50%).The difference was significant(P<0.05).The satisfaction degree of the observation group(97.50%)was higher than that of the control group(77.50%),P<0.05;the preoperative SAS and SDS scores between the two groups were not statistically significant,P>0.05;postoperative SAS and SDS scores of the observation group were lower than those of the control group,P<0.05;the comfort level of the observation g

关 键 词：肿瘤 老年患者 PICC置管 B超 改良塞丁格技术 一次置管成功率 静脉血栓 

分 类 号：R73[医药卫生—肿瘤]