改良塞丁格技术与传统PICC置管在化疗患者中应用效果对比观察(1)
【摘要】 目的 探讨改良塞丁格技术与传统经外周静脉穿刺中心静脉置管(PICC)在化疗患者中的应用效果。方法 选择92例化疗患者作为研究对象， 根据其在化疗过程中选择的置管方式不同分为改良组和常规组， 各46例， 改良组患者采用浅静脉引导的改良塞丁格技术穿刺置管， 常规组采用传统盲穿PICC置管法。比较两组患者的一次穿刺成功率、一次置管成功率以及不良反应的发生率。结果 改良组患者的一次穿刺成功率、一次置管成功率以及不良反应发生率等指标均显著优于常规组患者， 比较差异有统计学意义(P<0.05)。结论 在没有购置PICC置管专用B超机的情况下， 采用改良塞丁格技术行PICC置管的方法， 不仅一次穿刺成功率和一次置管成功率显著提高， 且安全性好， 值得临床推广应用。
【关键词】 改良塞丁格技术；传统经外周静脉穿刺中心静脉置管；化疗；临床应用
DOI：10.14163/j.cnki.11-5547/r.2015.18.136
, http://www.100md.com
Comparative observation of application effects between modified Seldinger technique and traditional PICC catheterization in chemotherapy patients YE Jing， TU Jing， XU Yang-zi. Department of Oncology， The First Affiliated Hospital of Guangdong Pharmaceutical University， Guangzhou 510080， China
【Abstract】 Objective To investigate the application effects of modified Seldinger technique and traditional peripherally inserted central catheter (PICC) in chemotherapy patients. Methods There were 92 patients under chemotherapy as study subjects， and they were divided by different catheterization methods into modified group and conventional group. The modified group received superficial vein-guided modified Seldinger technique， and the conventional group received traditional PICC. The first puncture success rate， first catheterization success rate and incidence of adverse reactions were compared between the two groups. Results The modified group had obviously better first puncture success rate， first catheterization success rate and incidence of adverse reactions than the conventional group， and their difference had statistical significance (P<0.05). Conclusion In the absence B ultrasound machine for PICC catheterization， implement of modified Seldinger technique for PICC catheterization can provide high first puncture success rate and first catheterization success rate with good safety. This method is worthy of clinical promotion and application.
, 百拇医药
【Key words】 Modified Seldinger technique； Traditional PICC catheterization； Chemotherapy； Clinical application
肿瘤患者在进行化疗的过程中， 经PICC置管能够为其提供一条安全有效的输液通道， 并能降低因反复穿刺或者大量化疗药物刺激、高浓度营养物质的输注等因素对患者血管及周围组织造成的损伤[1]， 在临床上得到广泛的应用。传统的PICC置管法是直接盲穿， 但对局部血管条件较差的患者， 置管比较困难， 只能在肘关节部位寻找可见的三条大静脉穿刺， 一旦患者的血管条件不佳， 置管就会遇到阻碍。随着技术的发展和进步， 改良后塞丁格技术穿刺置管能够在浅静脉留置针的引导下完成置管。本文就本院收治的肿瘤住院患者作为研究对象， 对比分析改良后的塞丁格技术和传统PICC置管的临床应用效果。现报告如下。
1 资料与方法
1. 1 一般资料 选取本院收治的肿瘤住院患者92例作为研究对象， 根据其在化疗过程中选择的置管方式不同将其分为改良组和常规组， 每组46例。改良组患者中， 男23例， 女23例， 年龄35～75岁， 平均年龄(58.3±5.6)岁。患者的疾病类型包括：胃癌14例、肝癌8例、肺癌5例、结肠癌8例、直肠癌6例、乳腺癌5例。常规组患者中， 男22例， 女24例， 年龄32～74岁， 平均年龄(57.1±5.7)岁。患者的疾病类型包括：胃癌15例、肝癌7例、肺癌4例、结肠癌9例、直肠癌5例、乳腺癌6例。两组患者性别、年龄、疾病类型等一般资料比较差异无统计学意义(P>0.05)， 具有可比性。, http://www.100md.com(叶静?涂晶?许阳子)
【关键词】 改良塞丁格技术；传统经外周静脉穿刺中心静脉置管；化疗；临床应用
DOI：10.14163/j.cnki.11-5547/r.2015.18.136
, http://www.100md.com
Comparative observation of application effects between modified Seldinger technique and traditional PICC catheterization in chemotherapy patients YE Jing， TU Jing， XU Yang-zi. Department of Oncology， The First Affiliated Hospital of Guangdong Pharmaceutical University， Guangzhou 510080， China
【Abstract】 Objective To investigate the application effects of modified Seldinger technique and traditional peripherally inserted central catheter (PICC) in chemotherapy patients. Methods There were 92 patients under chemotherapy as study subjects， and they were divided by different catheterization methods into modified group and conventional group. The modified group received superficial vein-guided modified Seldinger technique， and the conventional group received traditional PICC. The first puncture success rate， first catheterization success rate and incidence of adverse reactions were compared between the two groups. Results The modified group had obviously better first puncture success rate， first catheterization success rate and incidence of adverse reactions than the conventional group， and their difference had statistical significance (P<0.05). Conclusion In the absence B ultrasound machine for PICC catheterization， implement of modified Seldinger technique for PICC catheterization can provide high first puncture success rate and first catheterization success rate with good safety. This method is worthy of clinical promotion and application.
, 百拇医药
【Key words】 Modified Seldinger technique； Traditional PICC catheterization； Chemotherapy； Clinical application
肿瘤患者在进行化疗的过程中， 经PICC置管能够为其提供一条安全有效的输液通道， 并能降低因反复穿刺或者大量化疗药物刺激、高浓度营养物质的输注等因素对患者血管及周围组织造成的损伤[1]， 在临床上得到广泛的应用。传统的PICC置管法是直接盲穿， 但对局部血管条件较差的患者， 置管比较困难， 只能在肘关节部位寻找可见的三条大静脉穿刺， 一旦患者的血管条件不佳， 置管就会遇到阻碍。随着技术的发展和进步， 改良后塞丁格技术穿刺置管能够在浅静脉留置针的引导下完成置管。本文就本院收治的肿瘤住院患者作为研究对象， 对比分析改良后的塞丁格技术和传统PICC置管的临床应用效果。现报告如下。
1 资料与方法
1. 1 一般资料 选取本院收治的肿瘤住院患者92例作为研究对象， 根据其在化疗过程中选择的置管方式不同将其分为改良组和常规组， 每组46例。改良组患者中， 男23例， 女23例， 年龄35～75岁， 平均年龄(58.3±5.6)岁。患者的疾病类型包括：胃癌14例、肝癌8例、肺癌5例、结肠癌8例、直肠癌6例、乳腺癌5例。常规组患者中， 男22例， 女24例， 年龄32～74岁， 平均年龄(57.1±5.7)岁。患者的疾病类型包括：胃癌15例、肝癌7例、肺癌4例、结肠癌9例、直肠癌5例、乳腺癌6例。两组患者性别、年龄、疾病类型等一般资料比较差异无统计学意义(P>0.05)， 具有可比性。, http://www.100md.com(叶静?涂晶?许阳子)