静脉治疗专科护士主导的胸部CT扫描在预测患者经外周静脉置入中心静脉导管置入长度中的应用  

Application of thoracic CT scan led by intravenaus therapy specialist nurse in predicting the length of peripherally inserted central catheter placement in patients

作　　者：刘名君[1] 徐翠凤[2] 陈龙菊 LIU Mingjun;XU Cuifeng;CHEN Longju(Department of Cardiology,The Second Hospital of Anhui Medical University,Hefei,Anhui,230031,China;Department of Respiratory Medicine,The Second Hospital of Anhui Medical University,Hefei,Anhui,230031,China)

机构地区：[1]安徽医科大学第二附属医院心内科,安徽合肥230601 [2]安徽医科大学第二附属医院呼吸内科,安徽合肥230601

出　　处：《当代医学》2025年第1期175-178,共4页Contemporary Medicine

摘　　要：目的探讨静脉治疗专科护士主导的胸部CT扫描在预测经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置入长度中的应用效果。方法选取2022年6月至2023年3月于安徽医科大学第二附属医院置管的110例患者作为研究对象,采用随机数字表法结合信封法分为对照组与观察组,每组55例。对照组采用传统体外测量法,观察组采用CT测量法,比较两组置管后1周内静脉炎发生情况、PICC导管尖端一次性到位率和满意度。结果观察组PICC导管尖端一次性到位率高于对照组,差异有统计学意义(P<0.05);观察组静脉炎发生率为1.81%,低于对照组的16.36%,差异有统计学意义(P<0.05);观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论静脉治疗专科护士主导的胸部CT测量法可以更好地预测PICC置入的长度,且该操作无侵入性,安全有效,具有临床推广应用价值。Objective To explore application effect of thoracic CT scan led by intravenous therapy specialist nurse in predicting the length of(peripherally inserted central catheter,PICC)placement in patients.Methods A total of 110 patients who were intubated in the Second Hospital of Anhui Medical University from June 2022 to March 2023 were selected as the study subjects,they were divided into the control group and the observation group aceording to the ranelom number table method and envelope method,with 55 cases in each group.The control group was measured by traditional in vitro measurement method,the observation group by CT measurement method,the occurrence of phlebitis within 1 week after catheterization,the one-time placement rate of PICC catheter tip and satisfaction were compared between the two groups.Results The one-time placement rate of PICC catheter tip in the observation group was higher than that in control group,the difference was statistically significant(P<0.05);the incidence of phlebitis within 1 week after catheterization in the observation group was 1.81%,which was lower than 16.36%in control group,the difference was statistically significant(P<0.05);the satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The chest CT measurement method led by intravenous nurse can predict the length of PICC better,and the operation is non-invasive,safe and effective,and has clinical promotio and application value.

关 键 词：PICC置管长度 胸部CT扫描 静脉治疗专科护士 预测 

分 类 号：R473.5[医药卫生—护理学]