[1]甘培英,党磊,宋来昌,等.微导丝辅助送管困难性PICC导管置入的观察[J].西部中医药,2017,30(10):107-109.
 GAN Peiying,DANG Lei,SONG Laichang,et al.Observation on the Insertion of Difficult Feeding Type PICC Interoduced by Micro-wire[J].Western Journal of Traditional Chinese Medicine,2017,30(10):107-109.
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微导丝辅助送管困难性PICC导管置入的观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年10期
页码:
107-109
栏目:
出版日期:
2017-10-15

文章信息/Info

Title:
Observation on the Insertion of Difficult Feeding Type PICC Interoduced by Micro-wire
文章编号:
1004-6852(2017)10-0107-03
作者:
甘培英党磊宋来昌陈洁李双喜蒋常燕白彦文石彦强
兰州大学第一医院,甘肃 兰州 730000
Author(s):
GAN Peiying, DANG Lei, SONG Laichang, CHEN Jie, LI Shuangxi, JIANG Changyan, BAI Yanwen, SHI Yanqiang
The First Hospital of Lanzhou University, Lanzhou 730000, China
关键词:
经外周中心静脉置管送管困难微导丝
Keywords:
peripherally inserted central catheter difficulty feeding micro-wire
分类号:
R47
文献标志码:
B
摘要:
目的:观察微导丝辅助送管困难性PICC导管置入的成功率。方法:将63例患者随机分为观察组31例,对照组32例。2组患者均采用改良Seldinger法联合超声引导穿刺,观察组在DSA监视下使用微导丝辅助送管,对照组在DSA监视下直接送管。比较2组PICC置管的到位率以及平均累积X线照射时间。结果:送管成功率观察组为96.8%,对照组为46.9%,2组比较差异有统计学意义(P<0.05)。观察组平均X线累积照射时间9.6分钟,对照组15例导管到位患者平均累积X线照射时间18.6分钟,17例患者在20分钟内未送管成功,改为微导丝辅助后,在平均X线累积照射时间10.5分钟内全部送管到位。结论:微导丝引导显著提高了送管困难性PICC导管置入的成功率,同时减少了患者和操作者X线照射时间。
Abstract:
Objective: To observe the success rate of micro-wire interoducing the insertion of difficult feeding type peripherally inserted central catheter (PICC). Methods: All 63 patients were randomized into 31 cases of the observation group and 32 cases of the control group. Both groups accepted modified Seldinger method combined with ultrasound guided puncture, the patients in the observation group received micro-wire assisting the insertion of the catheter on the foundation of DSA, and the patients in the control group were inserted directly under the observation of DSA. Average cumulative X-ray irradiation time and PICC success rate of both groups were compared. Results: Feeding success rate of the observation group was 96.8%, higher than 46.9% of the control group, and the difference had statistical meaning (P<0.05). Average cumulative X-ray irradiation time of the observation group was 9.6minutes, while the time for 15 patients with successfully insertion in the control group was 18.6minutes, 17 patients failed in 20 minutes, and changed into micro-wire assisting; the time was 10.5minutes and succeeded completely. Conclusion: Interoducied by micro-wire could significantly raise the success rate of difficult feeding type PICC, at the same time, and reduce X-ray irradiation time of the patients and the operators.

备注/Memo

备注/Memo:
收稿日期:2017-04-22 *基金项目:甘肃省青年科技基金计划项目(编号1208RJYA061)。 作者简介:甘培英(1969—),女,副主任护师。研究方向:临床护理及护理管理。
更新日期/Last Update: 2017-10-15