【摘要】 目的探讨B超引导下塞丁格技术在置管困难患者行PICC中的应用价值。方法选取2012年3～9月于本院进行非B超引导下塞丁格技术PICC置管的43例置管困难患者为对照组,同期的43例进行B超引导下塞丁格技术PICC置管患者为观察组,比较两组患者的一次、二次和总置管成功率、出血量、导管末端位置、留置时间、置管过程和置管后并发症发生率。结果观察组的一次、二次和总置管成功率均高于对照组,出血量小于对照组,导管末端位置最佳率高于对照组,留置时间长于对照组,置管过程和置管后并发症发生率均低于对照组,以上指标P值均<0.05,差异有统计学意义。结论 B超引导下塞丁格技术在置管困难患者行PICC中的应用价值更高。更多还原

【Abstract】 Objective To study the application value of B ultrasound-guided seldinger technique for PICC in patients with difficult indwelling catheter.Methods Forty-three patients with difficult indwelling catheter who did not undergo B ultrasound-guided seldinger technique for PICC in our hospital from March 2012 to September 2012 were selected as the control group,and 43 patients who received B ultrasound-guided seldinger technique for PICC at the same time were selected as the observation group.Then the one-time success rate,two-time success rate,total success rate,blood loss,position of the end of PICC,retention time,incidence of complications during and after the indwelling were compared between the two groups.Results The one-time success rate,two-time success rate,total success rate in the observation group were all significantly higher than those in the control group,The observation group also had significantly higher optimal rate of the position of the end of PICC,less blood loss,longer retention time,and lower incidence of complications,P<0.05.Conclusion B ultrasound-guided seldinger technique has high application value of for PICC in patients with difficult indwelling catheter.更多还原