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耐高压注射型PICC导管在CT增强扫描中的应用价值 被引量:19

Application of high pressure resistant PICC catheter for contrast-enhanced computed tomography
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摘要 目的:探讨耐高压注射型PICC导管在CT增强扫描中的应用价值。方法:选取行CT增强扫描并已置入耐高压注射型PICC导管和静脉留置针的322例患者,将其中使用耐高压注射型PICC通路行CT增强扫描的242例患者纳入观察组,选择静脉留置针行CT增强扫描的80例患者纳入对照组。结果:观察组护理不良事件的总发生率(4.1%)低于对照组(13.8%),差异有统计学意义(P=0.003)。观察组从进入检查室到开展CT检查耗时、CT检查结束后处理通路耗时、合计耗时分别为(3.31±0.66)min、(4.05±0.76)min、(7.36±1.01)min,对照组分别为(5.56±0.86)min、(7.79±0.68)min、(13.35±1.05)min,两组差异均有统计学意义(P值均<0.05)。结论:应用耐高压注射型PICC导管作为CT增强扫描注射对比剂的静脉通路,可减少反复穿刺给患者带来的痛苦,降低护理不良事件的发生风险,值得临床推广应用。 Objective:To study the application value of high pressure injection PICC catheter in CT enhanced scanning.Methods:322 patients had placed in high pressure injection PICC catheter or venous indwelling needle underwent CT enhanced scanning were enrolled in this study.Among them,242 patients underwent enhanced CT scanning using high-pressure injection PICC pathway were included in the study group,and 80 patients via venous indwelling needle were included in the control group.Results:Total incidence of nursing adverse events in study group(4.1%)was lower than that of the control group(13.8%),the difference was statistically significant(P=0.003,P<0.05).In the study group,the time consumed from entering the examination room to carrying out CT examination,the time consumed by processing the post-treatment pathway after CT examination,and the total nursing time was(3.31±0.66)min、(4.05±0.76)min、(7.36±1.01)min respectively,which was lower than that of the control group as(5.56±0.86)min、(7.79±0.68)min、(13.35±1.05)min respectively.The difference was statistically significant(P<0.05).Conclusion:The application of high pressure resistant PICC catheter as a CT enhanced scanning venography pathway can not only shorten the amount of nursing work,reduce the risk of nursing adverse events,but also reduce the pain caused by repeated puncture,the financial burden of patients,and is worth clinical promoting.
作者 梅莉 高小玲 赵云云 MEI Li;GAO Xiao-ling;ZHAO Yun-yun(Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,China)
出处 《放射学实践》 北大核心 2019年第1期88-91,共4页 Radiologic Practice
关键词 耐高压型PICC导管 静脉留置针 体层摄影术 X线计算机 CT增强扫描 High pressure resistant PICC Intravenous indwelling needle Tomography,X-ray computed Enhanced CT
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