超声引导下改良塞丁格技术PlCC置管相较CVC或外周静脉留置针的对比分析
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摘要
目的对比分析超声引导下改良塞丁格技术、CVC或外周静脉留置针的临床应用效果。方法方便选取该院2016年12月—2018年1月收治的50例需要长期输液治疗的患者进行观察,根据不同输液方式分为研究组、对照组,各25例。对照组采取CVC或外周静脉留置针进行输液治疗;研究组采用超声引导下改良塞丁格技术。记录两组患者一次性穿刺及置管成功率、并发症(穿刺点渗血、静脉炎、血栓、感染)、满意度。结果研究组一次性穿刺及置管成功率(96.00%,96.00%)明显优于对照组(76.00%,76.00%),差异有统计学意义(χ2=4.152 8,8.389 0,P<0.05);研究组并发症发生率(4.00%)明显比对照组低(24.00%),差异有统计学意义(χ2=4.152 8,P<0.05);且研究组患者满意度评分(93.1±2.5)分明显优于对照组(85.7±4.5)分,差异有统计学意义(t=7.187 5,P<0.05)。结论对需要长期输液治疗的患者给予超声引导下改良塞丁格技术Pl CC置管的一次性穿刺成功率高,并发症少,相对于CVC或外周静脉留置针具有明显优势,减轻了患者的痛苦,提高了患者的满意度,值得推广。
Objective To compare and analyze the clinical application of modified Singer technique, CVC or peripheral venous indwelling needle under ultrasound guidance. Methods A total of 50 patients requiring long-term infusion therapy were convenient selected and enrolled in our hospital from December 2016 to January 2018. According to different infusion methods, they were divided into study group and control group. The control group received CVC or peripheral venous indwelling needle for infusion treatment; the study group used ultrasound-guided modified Sedinger technique. The success rate of one-time puncture and catheterization, complications(bleeding point of puncturing, phlebitis, thrombosis, infection)and satisfaction were recorded. Results The success rate of one-time puncture and catheterization in the study group(96.00%,96.00%) was significantly better than that of the control group(76.00%, 76.00%), which was statistically significant(χ2=4.152 8,8.389 0, P<0.05). The incidence rate(4.00%) was significantly lower than that of the control group(24.00%), which was statistically significant(χ2=4.152 8, P<0.05). The patient satisfaction score(93.1±2.5)points was significantly better than the control group(85.7 ± 4.5) points, statistically significant(t =7.187 5, P <0.05). Conclusion Ultrasound-guided modified Sedinger technique for patients with long-term infusion therapy has a high success rate of one-time puncture and less complications. It has obvious advantages over CVC or peripheral venous indwelling needles, reducing the pain of patients, improving patient satisfaction and deserve to be promoted.
Objective To compare and analyze the clinical application of modified Singer technique, CVC or peripheral venous indwelling needle under ultrasound guidance. Methods A total of 50 patients requiring long-term infusion therapy were convenient selected and enrolled in our hospital from December 2016 to January 2018. According to different infusion methods, they were divided into study group and control group. The control group received CVC or peripheral venous indwelling needle for infusion treatment; the study group used ultrasound-guided modified Sedinger technique. The success rate of one-time puncture and catheterization, complications(bleeding point of puncturing, phlebitis, thrombosis, infection)and satisfaction were recorded. Results The success rate of one-time puncture and catheterization in the study group(96.00%,96.00%) was significantly better than that of the control group(76.00%, 76.00%), which was statistically significant(χ2=4.152 8,8.389 0, P<0.05). The incidence rate(4.00%) was significantly lower than that of the control group(24.00%), which was statistically significant(χ2=4.152 8, P<0.05). The patient satisfaction score(93.1±2.5)points was significantly better than the control group(85.7 ± 4.5) points, statistically significant(t =7.187 5, P <0.05). Conclusion Ultrasound-guided modified Sedinger technique for patients with long-term infusion therapy has a high success rate of one-time puncture and less complications. It has obvious advantages over CVC or peripheral venous indwelling needles, reducing the pain of patients, improving patient satisfaction and deserve to be promoted.
引文
[1]顾景艳,朱静,曹小云,等.非超声引导下改良塞丁格技术与传统PICC置管术应用于化疗患者的对比观察[J].护士进修杂志,2016,31(14):1320-1322.
[2]郑素惠,黄韩英,朱婷等.超声引导下改良塞丁格技术在婴幼儿上臂PICC置管中的应用[J].中国实用护理杂志,2016,32(24):1879-1881.
[3]柴颖,王申.患儿全麻下超声引导结合改良塞丁格技术行经外周静脉置入中心静脉导管的体会[J].中国中西医结合急救杂志,2016,23(2):215-216.
[4]黄晓春,杨琴芳,李婧,等.超声引导下改良塞丁格穿刺PICC置管术疗效观察[J].中国医学创新,2016,13(21):85-87.
[5]王艳,李颖,鹿梦溪等.超声引导与传统PICC置管术在肿瘤患者中的对比研究[J].河北医科大学学报,2016,37(11):1344-1346.
[6]蔡志云,李兰,韩秋英,等.超声引导下二次改良塞丁格PICC置管术在1~12月龄患儿中的应用[J].齐鲁护理杂志,2017,23(16):96-98.
[7]郑晓燕,门倩倩,郑超,等.直式静脉留置针结合改良塞丁格技术在危重婴幼儿PICC置管中的应用[J].护士进修杂志,2016,31(10):930-931.
[8]张瑜,郝春艳,王迎春,等.心电监护在辅助超声引导下改良塞丁格技术经外周中心静脉置管的临床研究[J].中国循环杂志,2016,31(10):1009-1012.
[2]郑素惠,黄韩英,朱婷等.超声引导下改良塞丁格技术在婴幼儿上臂PICC置管中的应用[J].中国实用护理杂志,2016,32(24):1879-1881.
[3]柴颖,王申.患儿全麻下超声引导结合改良塞丁格技术行经外周静脉置入中心静脉导管的体会[J].中国中西医结合急救杂志,2016,23(2):215-216.
[4]黄晓春,杨琴芳,李婧,等.超声引导下改良塞丁格穿刺PICC置管术疗效观察[J].中国医学创新,2016,13(21):85-87.
[5]王艳,李颖,鹿梦溪等.超声引导与传统PICC置管术在肿瘤患者中的对比研究[J].河北医科大学学报,2016,37(11):1344-1346.
[6]蔡志云,李兰,韩秋英,等.超声引导下二次改良塞丁格PICC置管术在1~12月龄患儿中的应用[J].齐鲁护理杂志,2017,23(16):96-98.
[7]郑晓燕,门倩倩,郑超,等.直式静脉留置针结合改良塞丁格技术在危重婴幼儿PICC置管中的应用[J].护士进修杂志,2016,31(10):930-931.
[8]张瑜,郝春艳,王迎春,等.心电监护在辅助超声引导下改良塞丁格技术经外周中心静脉置管的临床研究[J].中国循环杂志,2016,31(10):1009-1012.