PICC在心内科重症监护病房长期输液患者中的临床应用效果分析  

Clinical effect analysis of PICC in patients with long-term infusion in cardiology intensive care unit

作　　者：叶楠 YE Nan(Shenyang Fourth People’s Hospital,Shenyang 110031,China)

机构地区：[1]沈阳市第四人民医院,110031

出　　处：《中国现代药物应用》2022年第6期218-220,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨经外周静脉穿刺中心静脉置管(PICC)在心内科重症监护病房长期输液患者中的临床应用效果。方法124例心内科重症监护病房长期输液患者为研究对象,依据随机数字表法分为对照组(60例)与观察组(64例)。对照组采用静脉留置针输液方式,观察组采用PICC输液方式。比较两组穿刺成功率、操作时间、置管留置时间、置管后并发症发生情况及患者满意度。结果两组穿刺成功率比较,差异无统计学意义(P>0.05);观察组操作时间(28.24±3.54)min、置管留置时间(30.92±5.48)d均长于对照组的(5.23±1.42)min、(8.63±2.34)d,差异有统计学意义(P<0.05)。观察组并发症发生率为6.3%显著低于对照组的20.0%,差异有统计学意义(P<0.05)。观察组患者满意度为93.8%显著高于对照组的81.7%,差异有统计学意义(P<0.05)。结论两种静脉输液方式穿刺成功率相似,但PICC置管留置时间长,可减少穿刺次数,置管后相关并发症发生率明显减少,患者满意度提高,更适用于长期输液患者。Objective To discuss the clinical effect of peripherally inserted central catheterization(PICC)in patients with long-term infusion in cardiology intensive care unit.Methods A total of 124 patients with longterm infusion in cardiology intensive care unit were selected as the research subjects,and were divided into the control group(60 cases)and the observation group(64 cases)according to the random numerical table.The control group received intravenous indwelling needle infusion,while the observation group received PICC infusion.The puncture success rate,operation time,catheter indwelling time,complications after catheterization and patient satisfaction were compared between the two groups.Results There was no statistically significant difference in the puncture success rate between the two groups(P>0.05).The operation time(28.24±3.54)min and catheter indwelling time(30.92±5.48)d of the observation group were longer than(5.23±1.42)min and(8.63±2.34)d of the control group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was 6.3%,which was significantly lower than 20.0 %of the control group,and the difference was statistically significant(P<0.05).The satisfaction rate 93.8% of the observation group was significantly higher than 81.7% of the control group,and the difference was statistically significant(P<0.05).Conclusion The puncture success rate of the two intravenous infusion methods is similar,but the indwelling time of PICC catheter is long,which can reduce the number of puncture,significantly reduce the complication rate after catheterization,improve patient satisfaction,and is more suitable for long-term infusion patients.

关 键 词：经外周静脉穿刺中心静脉置管 静脉留置针 长期输液 心内科 

分 类 号：R472[医药卫生—护理学]