超声引导下长轴平面内穿刺技术在肿瘤PICC置管患者中的应用效果  

Effectiveness of ultrasound-guided long-axis longitudinal sectionpuncture technique in patients with oncologic PICC cannulation

作　　者：梁娟[1] 石丽梅[1] 李丽蓉[2] 班志新 甘海丽 马自琼 LIANG Juan;SHI Limei;LI Lirong;BAN Zhixin;GAN Haili;MA Ziqiong(Guangxi Academy of Medical Sciences,The People's Hospital of Guangxi Zhuang Autonomous Region,Department of Radiation Oncology II,Clinical Oncology Center,Nanning 530021,China;Guangxi Academy of Medical Sciences,The People's Hospital of Guangxi Zhuang Autonomous Region,Department of Radiation Oncology I,Clinical Oncology Center,Nanning 530021,China)

机构地区：[1]广西医学科学院广西壮族自治区人民医院临床肿瘤中心放疗二病区,广西南宁530021 [2]广西医学科学院广西壮族自治区人民医院放疗一病区,广西南宁530021

出　　处：《黑龙江医药科学》2025年第4期40-42,共3页Heilongjiang Medicine and Pharmacy

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题,编号:Z20200672。

摘　　要：目的:探讨超声引导下长轴平面内穿刺技术在肿瘤PICC置管患者中的应用效果。方法:选取2020年7月至2021年2月在广西壮族自治区人民医院临床肿瘤中心放疗科住院行同步放化疗需留置PICC导管的患者150例,随机分为观察组和对照组,各75例,观察组采用超声引导下长轴平面内穿刺技术穿刺置管,对照组采用超声引导下短轴平面外穿刺技术置管,两组患者在静脉穿刺前均采用2%利多卡因注射液进行局部麻醉。在置管过程中对两组患者的首次穿刺成功率、穿刺用时及血肿的发生率进行比较。结果:观察组首次穿刺成功率显著高于对照组(96.00%vs 82.67%,P<0.05),穿刺用时明显少于对照组[(42.98±24.44)s vs(87.77±19.07)s,P<0.05],血肿的发生率明显低于对照组(4.00%vs 8.00%,P<0.05)。结论:超声引导下长轴平面内穿刺技术能有效提高肿瘤PICC置管患者的首次穿刺成功率,缩短穿刺用时,减少穿刺过程血肿的发生率。Objective:To explore the application effect of ultrasound-guided long-axis longitudinal section puncture technology in patients with tumor PICC catheterization.Methods:150 patients who were hospitalized in the Radiotherapy Department of the Clinical Oncology Center of our hospital for simultaneous radiotherapy and chemotherapy requiring PICC catheter placement from July 2020 to February 2021 were selected and randomly divided into the observation group and the control group,the observation group used ultrasound-guided long-axis longitudinal section puncture technique for tube placement,and the control group used ultrasound-guided short-axis transverse section puncture technique for tube placement.Patients in both groups were anesthetized with 2%lidocaine injection before venous puncture.The success rate of the first puncture,the puncture time and the incidence of hematoma were compared between the two groups.Results:The first puncture success rate was significantly higher in the long-axis longitudinal section group than in the short-axis transverse section group(96.00%vs.82.67%,P<0.05),t he puncture time was significantly lower than that in the short-axis transverse section group[(42.98±24.44)s vs.(87.77±19.07)s,P<0.05]and the incidence of hematoma was significantly lower than that in the short-axis transverse section group(4.00%vs.8.00%,P<0.05).Conclusion:Ultrasound-guided long-axis longitudinal section puncture technique can effectively improve the success rate of the first puncture in patients with oncologic PICC cannulation,shorten the puncture time,and reduce the incidence of hematoma during the puncture process.

关 键 词：平面内超声引导 肿瘤患者 PICC 

分 类 号：R473.73[医药卫生—护理学]