摘要
目的探讨再改良塞丁格技术降低外周中心静脉置管(PICC)置管后的并发症发生率。方法选取128例行PICC置管的恶性肿瘤患者作为研究对象,随机分为对照组和观察组,各64例。对照组采用改良塞丁格技术穿刺置管。观察组采用再改良塞丁格技术穿刺置管。比较两组置管一次穿刺成功率及PICC置管后和带管期间并发症发生情况。结果观察组一次穿刺成功率93.8%,显著高于对照组(P<0.05),且观察组导管异位率3.1%,穿刺点出血14.1%,静脉炎4.7%,静脉血栓6.3%,非计划拔管6.3%,堵管7.8%,导管相关性感染1.6%,均显著低于对照组(P<0.05)。结论再改良塞丁格技术,可以显著降低PICC置管后的并发症发生率,可应用于临床。
Objective To discuss the complication of further modified seldinger technique for peripherally inserted central catheter（PICC）catheterization.Methods 128 patients with malignant tumor performed regular PICC catheterization were randomly divided into the observation group and the control group,with 64 cases in each group.Patients in the observation group were applied with further modified seldinger technique for PICC catheterization,and patients in the control group were applied with modified seldinger method.The successful rate of puncture once and the complication of further modified seldinger technique for peripherally inserted central catheter（PICC）catheterization between two groups were analyzed.Results The successful rate of puncture once of patients in the observation group was 93.8%,and it was significantly higher than that of the control group（P〈 0.05）.Catheter heterotopia rate was 3.1%,punctured hemorrhage rate was 14.1%,phlebitis rate was 4.7%,vein thrombosis rate was 6.3%,unplanned extubation rate was 6.3%,the plugging pipe rate was 7.8%,and the incidence of catheter related infections was 1.6%,and they were all significantly lower than those of control group（P〈0.05）.Conclusion The complication of further modified seldinger technique for PICC catheterization has been reduced significantly.It is high worthy of clinical application.
出处
《临床护理杂志》
2015年第3期68-70,共3页
Journal of Clinical Nursing
