摘要
目的:探讨2种不同时机的腔内心电图联合体外测量对于肿瘤病人经外周插管的中心静脉置管(PICC)尖端定位的准确性和安全性。方法:选取置入PICC并接受化疗的64例肿瘤病人作为研究对象,根据随机数字法分为干预组和对照组,各32例。2组病人均采用腔内心电图联合体外测量技术进行PICC置入,对照组病人在使用腔内心电图定位置入PICC成功后30 min内进行X线片检查,干预组病人在腔内心电定位成功后3 h进行X线片检查。比较2种不同时机的腔内心电图联合体外测量的导管定位置管成功率、病人满意度及置管后7 d内导管相关性并发症的发生率。结果:2组病人一次性置管成功率差异无统计学意义(P>0.05),干预组病人的置管满意度高于对照组(P<0.05)。干预组病人置管后7 d内导管相关性并发症发生率为0.00%(0/32),低于对照组的18.75%(6/32)(P<0.05)。结论:肿瘤病人使用腔内心电图定位技术植入PICC后3 h后可以替代X线片检查,不影响一次性置管成功率,有助于提高病人置管满意度以及降低置管并发症发生率。
Objective:To explore the accuracy and safety of two intracavitary electrocardiographies at different timing combined with extracorporeal measurement for the positioning of peripheral venous catheterization(PICC)tip in tumor patients.Methods:Sixty-four tumor patients undergoing PICC and chemotherapy were selected as the study subjects and divided into intervention group and control group according to the random number method,with 32 cases in each group.Patients in the two groups were implanted with PICC by intracavitary electrocardiography combined with extracorporeal measurement.Patients in the control group underwent X-ray examination within 30 minutes after successful placement of PICC by intracavitary electrocardiography,and patients in the intervention group underwent X-ray examination at 3 hours after successful PICC implantation by intracavitary electrocardiography.The success rate of catheter positioning,patient's satisfaction and the incidence of catheter-related complications within 7 days after catheterization were compared between two intracavitary electrocardiographies at different timing combined with extracorporeal measurement.Results:There was no significant difference in the success rate of one-time catheterization between the two groups(P>0.05).The patient's satisfaction of catheterization in the intervention group was higher than that in the control group(P<0.05).The incidence of catheter-related complications was 0.00%(0/32)in the intervention group within 7 days after catheterization,which was lower than that of 18.75%(6/32)in the control group(P<0.05).Conclusions:Intracavitary electrocardiography positioning can replace X-ray examination at 3 hours after PICC implantation in tumor patients,which does not affect the success rate of one-time catheterization,is helpful to improve patient's satisfaction with catheterization,and reduces the incidence of complications of catheterization.
作者
李静
王飞
林昕
童群
梁燕
LI Jing;WANG Fei;LIN Xin;TONG Qun;LIANG Yan(Department of Medical Oncology,The Third People's Hospital of Bengbu,Bengbu Anhui 233000,China;Department of Nursing,The Third People's Hospital of Bengbu,Bengbu Anhui 233000,China)
出处
《蚌埠医学院学报》
CAS
2022年第9期1314-1317,共4页
Journal of Bengbu Medical College
关键词
中心静脉置管
时机
腔内心电图定位
central venous catheterization
timing
intracavitary electrocardiography positioning
