摘要
目的探讨双腔耐高压注射型PICC在肿瘤患者中的临床应用效果。方法选择肿瘤患者83例，随机分为研究组38例和对照组45例。研究组行B超引导下改良赛丁格技术留置双腔耐高压注射型PICC，对照组为直接穿刺留置单腔硅胶HCC，比较两组临床效果。结果研究组静脉一次穿刺成功率为89．5％，对照组为91．1％，两组比较差异无统计学意义（P〉0．05）；研究组患者无并发症发生，对照组患者并发症发生率为28．9％，两组比较差异有统计学意义（Х^2=10．588，P=0．002）；日常生活方面，患者对双腔PICC较单腔硅胶PICC满意度高，而经济负担方面单腔硅胶PICC管较双腔PICC管更能使患者接受。结论双腔耐高压注射型PICC显著优于单腔硅胶PICC，能够做到一根导管完成治疗，并满足复杂的静脉治疗需要，患者并发症少、满意度高，值得在肿瘤患者中推广应用。
Objective To explore the chnical application values of new type of double-lumen power PICC in tumor patients. Methods A total of 83 cancer patients, 38 patients in study group were treated with double-lumen Power PICC guided by ultrasound based on modified seldinger technique, and 45 patients in control group were treated with single-lumen silicone PICC from January 2012 to August 2012 in the first affliated hospital of Zhengzhou university. Results No significant difference was found in the one-time success rate of puncture between study group and control group （89.5% vs 91. 1% ; P 〉 0. 05 ）. While significant difference of the incidence of complication was found between study group and control group （0% vs 28.9% ; Х^2 = 10.588 ,P =0. 002）. And patients＇ satisfaction in terms of daily life for the double-lumen Power PICC was higher than that for single-lumen silicone PICC, but lower in terms of economic burden. Conclusions The clinical application of the new type of double-lumen Power PICC placement can satisfy the complex needs of venous treatment. Patients who use Power PICC placement are much better than those use single-lumen silicone PICC for higher satisfaction, higher success rate of one- time puncture. So it＇s worth popularizing in cancer patients.
出处
《中华现代护理杂志》
2013年第15期1852-1855,共4页
Chinese Journal of Modern Nursing
关键词
化疗
改良赛丁格技术
耐高压注射型PICC
Chemotherapy
Modified seldinger technique
Power peripherally inserted central catheter
