摘要
目的 探讨预防颈部活动受限患者经外周静脉置入中心静脉导管（PICC）颈内静脉异位的方法.方法 采用随机数字表法,将210例拟使用超声引导下改良塞丁格技术行PICC置管的颈部活动受限患者分为观察组（n=106）及对照组（n=104）.观察组采用超声探头压迫法,对照组采用指压法,观察两组PICC置管过程中导管异位入颈内静脉的情况,X线摄片PICC末端位置正确率及并发症的发生情况.结果 观察组PICC异位入颈内静脉的例数[3例（2.8％）]显著低于对照组[36例（34.6％）]（P=0.000）.两组X线摄片PICC末端位置正确率均为100％.观察组无并发症,对照组并发症发生率为4.8％,两组比较差异有统计学意义（P =0.022）.结论 超声探头压迫法较指压法能降低颈部活动受限患者PICC颈内静脉异位的概率,而且较安全.
Objective To evaluate the methods for the prevention of internal jugular vein malposition of peripherally inserted central catheter （PICC） in patient with limited neck motion.Methods 210 patients who underwent PICC placement using ultrasound-guided modified Seldinger technique were divided into observation group （n =106） and control group （n =104） with a random number table.Ultrasound probe compression on the internal jugular vein was used in the observation group,while finger compression was used in the control group.The 2 groups were compared in terms of incidence of internal jugular vein malposition,accuracy of PICC tip position in X-ray,and incidence of complications.Results Incidence of PICC malposition was significantly lower in the observation group than the control group [3 （2.8％） vs.36 （34.6％）,P =0.000].The accuracy of PICC tip position in both groups was 100％.No complication was observed in the observation group,while the rate of complication in the control group was 4.8％,with a statistically significant difference （P =0.022）.Conclusion The ultrasound probe compression method can significantly lower the incidence of internal jugular vein malposition of PICC and is safer than the finger compression method.
出处
《中华临床营养杂志》
CAS
CSCD
2014年第5期317-320,共4页
Chinese Journal of Clinical Nutrition
基金
全军医药卫生科研项目重点专项（卫保健[2010]119号-10BJZ09）
关键词
超声探头压迫法
指压法
经外周静脉置入中心静脉导管
颈内静脉
异位
颈部活动受限
Ultrasound probe compression method
Finger compression method
Peripherally inserted central catheter
Internal jugular vein
Malposition
Limited neck motion
