超声引导下改良Seldinger技术与传统PICC置管技术的临床效果比较.doc

《超声引导下改良Seldinger技术与传统PICC置管技术的临床效果比较.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、超声引导下改良Seidinger技术与传统PICC置管技术的临床效果比较超声引导下改良Seidinger技术与传统PICC置管技术的临床效果比较作者单位:518028深圳市南方医科大学附属深圳妇幼保健院乳腺甲状腺科钟春嫦：女，本科，主管护师通信作者：王恩礼钟春嫦王恩礼陈玉肖宏刘海英摘要目的：探讨超声引导下改良Seldinger夕卜周中心静脉置管（PICC）技术与传统置管PICC置管技术在乳腺癌化疗中的临床效果。方法：将100例女性乳腺癌且化疗前行PICC术进行辅助治疗的女性患者随机等分为试验组和对照组,试验组采用超声引导下改良SeldingerPICC置管技术/寸照组采用传统

2、PICC置管技术”比较两组患者的置管成功率、并发症的发生率以及置管后的舒适度。结果：试验组1次置管成功率和患者置管后舒适度明显高于对照组，而术后穿刺点出血、局部血肿、置管后感染和机械性静脉炎发生率试验组明显低于对照组（P0.05X结论：超声引导下改良SeldingerPICC置管技术相比于传统置管技术置管成功率高,并发症少，减少患者痛苦，值得临床推广。关键词超声；改良Seldinger技术；PICC置管doi:10.3969/j.issn.l672-9676.2015.12.073Clinicaleffectscomparisonbetweenultrasound-guide

3、dmod讦iedseldingertraditionaltechniqueofPICCZHONGChun-chang,WANGEn-liZCHENYuzetal(ShenzhenMaternalandChildHealthHospitalofSouthernMedicalUniversity,Shenzhen518028)AbstractObjective:ToinvestigateSeidingerexploretheperipherallyinsertedcentralcatheter(PICC)ofultrasound-guidedtechnologywiththetr

4、aditionaltechniqueofPICCcatheterclinicaleffectofchemotherapyinbreastcancer.Methods:100patientsandotherwomenwithbreastcancerandchemotherapybeforesurgeryPICClineadjuvanttreatmentwererandomlydividedintoexperimentalgroupandcontrolgroup,theexperimentalgroupimprovedtheuseofultrasound-guidedSeldin

5、gerPICCcathetertechnology,thecontrolgroupusedtraditionalPICCcathetertechnology,catheterizationsuccessratebetweenthetwogroupsofpatients,andtheincidenceofcomplicationsaftercatheterizationcomfort.Results:Theexperimentalgroupcatheterizationsuccessratewith1timeandpatientcomfortwassignificantlyhi

6、gher,andpostoperativebleedingpuncture,localhematomaaftercatheterinfectionandmechanicalphlebitisincidenceexperimentalgroupwassignificantlylowerthanthecontrolgroup(P0.05).Conclusion:Ultrasound-guidedmodifiedSeldingerPICCcathetertechnologycomparedtoconventionalcathetertechniquecatheterizations

7、uccessratezfewercomplications,reducepatientsufferingzworthyofpromotion.Keywordsllltrasound;ModifiedSeldingertechnique;Blindpuncture近年来,经外周静脉穿刺中心静脉置管术(PICC)在临床上尤其是癌症患者的化疗中越来越重要[11PICC相对于中心静脉导管而言，极大程度上减少了患者胸膜腔内积气、创伤性血胸以及动脉穿刺等置管并发症。虽然PICC置管技术操作方法简单、患者痛苦小并在一