摘要
目的 探讨集束化干预在肿瘤患者腔内心电图定位留置三项瓣膜PICC中的应用效果.方法 采用便利抽样法,选取2014年10月—2017年1月北京医院肿瘤病房因化疗留置PICC患者为研究对象,采用体外测量＋X线定位的374例B超引导留置三项瓣膜PICC肿瘤患者作为对照组,采用体外测量＋腔内心电图定位＋X线定位集束化干预的320例患者作为干预组,对两组患者留置PICC导管尖端位置的准确性及置管过程中导管异位情况进行分析.结果 集束化干预组导管尖端位置准确率高于对照组.集束化干预组导管异位发生例数低于对照组,差异有统计学意义（P〈0.01）.结论 体外测量＋腔内心电图定位＋X线定位的集束化干预操作应用在肿瘤患者留置三项瓣膜PICC,可提高导管尖端位置准确率,纠正B超不能发现的颈内异位,降低导管过短的异位发生例数.
Objective To explore the effects of cluster intervention on the intracavitary electrocardiogram （ECG） positioning of three-position valve peripherally inserted central catheter （PICC） in tumor patients. Methods The patients who had PICC for chemotherapy from October 2014 to January 2017 in the tumor ward of Beijing Hospital were selected by convenience sampling method. A total of 374 cases of vitro measurement combined with X-ray leading three-position valve PICC were assigned into the control group, and 320 cases of vitro measurement combined with intracavity ECG oriented and X-ray cluster intervention were assigned into the intervention group. The position accuracy of the PICC tip and the catheter heterotopia situation of the patients were analyzed. Results The position accuracy of PICC tip of the cluster intervention group was higher than that of the control group, and the catheter heterotopia cases of the cluster intervention group was lower than that of the control group. All the differences were statistically sigfinicant （P〈0.01）. Conclusions The cluster intervention of vitriol measurement combined with intracavity ECG oriented and X-ray in cancer patients with indwelling three-position valve PICC can improve the catheter tip position accuracy, correct the internal jugular ectopic which cannot be found by B-ultrasound, and reduce the ectopic occurrence because of short catheter.
作者
宋葵
王培
Song Kui;Wang Pei(Nursinz Department. Beijing Hospital. National Center of Gerontology, Beijing 100730, China)
出处
《中华现代护理杂志》
2018年第5期590-592,共3页
Chinese Journal of Modern Nursing
关键词
护理
腔内心电图
PICC
尖端定位
集束化干预
Nursing care
Intracavity electrocardiogram
Peripherally inserted central catheter
Tip positioning
Cluster intervention
