国际医药卫生导报2015，Vol.21Issue(13)：1805-1808,4.DOI:10.3760/cma.j.issn.1007-1245.2015.13.008
B超引导下改良塞丁格技术在PICC置管术中的临床应用
Modified Seldinger technique under ultrasound guidance in PICC catheterization
摘要
Abstract
Objective To evaluate the effect of modified Seldinger technique under ultrasound guidance in PICC catheterization.Methods 200 patients undergoing PICC catheterization were randomly divided into a control group and an observation group,100 cases for each group.The conventional catheter puncture method under naked eyes was used in the control group and modified Seldinger technique under ultrasound guidance in the observation group.The catheterization success rate,the bleeding rate of puncture point,the pain rate of puncture point,the comfort score,and the mechanical phlebitis rate were compared between the two groups.Results The one-time catheterization success rates of the observation group and the control group were 89.0％ (89/100) and 75.0％ (75/100),respectively,with a statistical difference (P＜0.05).The bleeding rate ofpuncture point,the pain rate of puncture point,and the comfort score of the observation group were 31.0％ (31/100),4.0％ (4/100),and (27.9±2.4);and those of the control group were 48.0％ (48/100),12.0％ (12/100),and (20.5±3.0);with statistical differences (P＜0.05).The mechanical phlebitis rate of the observation group was significantly lower than that of the control group (2.0％ vs.27.0％),with a statistical difference was ly significant (P＜0.05).Conclusions Using modified Seldinger technique under ultrasound guidance in PICC catheterization can improve the success rate of catheterization and reduce adverse reactions and mechanical phlebitis and in worth being clinically generalized.关键词
PICC/改良塞丁格技术/置管/超声Key words
PICC/Modified Seldinger technique/Catheterization/Ultrasound引用本文复制引用
张英燕..B超引导下改良塞丁格技术在PICC置管术中的临床应用[J].国际医药卫生导报,2015,21(13):1805-1808,4.基金项目
梅州市医药卫生科研课题(2014-B-58) （2014-B-58）
