摘要
目的观察外周静脉穿刺导入中心静脉置管(PICC)与锁骨下静脉置管两种方法在颅脑危重患者中的应用效果。方法76例置管患者随机分为PICC组38例和锁骨下静脉组38例,分别观察两种方法置管的1次置管成功率、并发症及置管时间的长短。结果PICC组一次置管成功率为100%,而锁骨下静脉置管组的一次置管成功率为63.8%,差异具有统计学意义(P<0.05);PICC组导管留置时间长于锁骨下静脉组,具有统计学意义(P<0.01);锁骨下静脉组发生导管相关性感染、邻近动脉损伤、导管脱落的例数较多,而PICC组发生静脉炎的例数则高于锁骨下静脉置管组。结论PICC导管的穿刺简便易行,并发症少,可长期留置。
Objectiv central catheter （PICC） and e To compare effect of applications of peripherally inserted Cerebral eritical patients subclavian vein puncture in cerevreal critical patients. Methods According to the time order of hospitalization. 76 patients with severe craniocerebral injury were randomly divided into two groups; PICC group（n=38） and subclavian vein puncture（SVP） group（n=38）. The successful rate of the initial puncture, indwelling time and complications were observed respectively. Results The success rate was100% in PICC group and 63.8% in SVP group, which showed significant difference statistically （P〈0.05）. Indwelling time was markedly longer in PICC group than that in SVP group （P〈0.01）. Correlative infection of catheter, adjacent artery damages and dislocation of catheter occurred more often in SVP group. While phlebitis more in PICC group. Conclusion The method of PICC is simple way, the sufferings and complications are fewer for patients and can remain for long time.
出处
《实用心脑肺血管病杂志》
2008年第2期107-109,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
