摘要
目的探讨经外周静脉置入中心静脉导管(PICC)隧道置管术与改良送鞘置管术在血液科患者中的应用效果。方法选取2020年1月—2021年12月医院血液科收治的90例拟行PICC置管患者作为研究对象,按照组间基本特征具有可比性的原则分为改良送鞘置管术组和隧道置管术组,每组45例。改良送鞘置管术组患者应用改良送鞘置管法置入PICC,隧道置管术组应用隧道置管法置入PICC。比较两组患者置管操作情况、并发症发生率以及非计划拔管率。结果改良送鞘置管术组置管时间短于隧道置管术组,差异有统计学意义(P<0.05)。两组患者一次穿刺成功率、一次送鞘成功率、置管成功率以及置管即刻疼痛程度、非计划拔管率比较,差异无统计学意义(P>0.05)。改良送鞘置管术组的渗血程度、并发症发生率高于隧道置管术组,差异有统计学意义(P<0.05)。结论隧道置管法置入PICC与改良送鞘置管法置入PICC的一次穿刺成功率、一次送鞘成功率、置管成功率以及非计划拔管率相当,PICC隧道置管术可减少并发症的发生率,减轻渗血程度;改良送鞘置管术可以缩短置管操作时间。
Objective To investigate the application effect of PICC tunnel catheterization and improved sheath catheterization in hematology patients.Methods 90 patients with PICC catheterization admitted in the hematology department of the hospital from January 2020 to December 2021 were selected as the research subjects.According to the principle of comparability of basic characteristics between the groups,they were divided into the improved sheath catheterization group and the tunnel catheterization group,with 45 patients in each group.PICC was implanted in patients in the modifi ed sheath catheterization group and PICC was implanted in patients in the tunnel catheterization group.The operation of catheterization,incidence of complications and unplanned extubation rate were compared between the two groups.Results The catheterization time of the modifi ed sheath catheterization group was shorter than the tunnel catheterization group,the diff erence was statistically signifi cant(P<0.05).There were no statistically signifi cant diff erences between the two groups in the success rate of single puncture,success rate of single sheath insertion,success rate of catheterization,immediate pain degree of catheterization and unplanned extubation rate(P>0.05).The degree of bleeding and the incidence of complications in the modified sheath catheterization group were higher than the tunnel catheterization group,the diff erences were statistically signifi cant(P<0.05).Conclusion PICC with tunnel catheterization was comparable to PICC with improved sheath catheterization in terms of the success rate of single puncture,single sheath catheterization,success rate of catheterization and unplanned extubation.PICC with tunnel catheterization could reduce the incidence of complications and reduce the degree of oozing blood.The operation time of tube placement could be shortened by the improvement of sheath feeding and tube placement.
作者
谢荣萍
周纯
邹雄鹰
XIE Rongping;ZHOU Chun;ZOU Xiongying(Shenzhen Hospital of Peking University,Shenzhen,518036,China)
出处
《护理实践与研究》
2022年第15期2328-2332,共5页
Nursing Practice and Research
关键词
血液科
经外周静脉置入中心静脉导管
隧道置管术
改良送鞘置管术
应用效果
Hematology department
Central venous catheter through peripheral vein
Tunnel catheterization
Improved sheathing and catheterization
Application eff ect