【作者】 王春妹； 何梅； 池玲敏； 薛西西；

【Author】 WANG Chun-mei,HE Mei,CHI Ling-min,XUE Xi-xi (The Third Affiliated Hospital of Wenzhou Medical College,Zhejiang 325200,China)

【机构】 温州医学院附属第三医院；

【摘要】 目的探讨一针法皮下隧道股静脉置入PICC应用效果观察。方法将60例需行股静脉PICC肿瘤特殊患者随机分成两组,每组各30例,试验组:采取从股静脉加一针式皮下隧道置入PICC;对照组:直接从股静脉置入PICC,两组均给予常规护理。观察两组在导管留置时间以及导管性感染等方面的差异。结果试验组比对照组的导管留置时间显著延长(P<0.05);穿刺处局部感染率、导管头端感染率、血培养阳性率较对照组明显降低(χ~2=4.71,P<0.05),而两组在穿刺部位血肿、血栓性静脉炎、导管阻塞、导管脱出、导管错位等方面差异无显著性意义(P>0.05)。结论一针法皮下隧道股静脉置入PICC具有置管时间长,感染率发生率低,对于肿瘤特殊患者是值得应用的输液途径。更多还原

【Abstract】 Objective Research on the effect of one-stitch subcutaneous tunnel inserted central catheter through femoral vein.Methods A randomized control study was performed on 60 tumor patients with PICC. One-stitch subcutaneous tunnel inserted central catheter through femoral vein was used for 30 patients(trial group),and 30 others were catheterized without one-stitch subcutaneous tunnel(control group).Observe the differences in the retention time of picc and catheter-related infection. Results The retention time of trial group was significantly longer than the control group.The local skin infection,catheter tip culture,peripheric blood culture in trial group are obviously lower.There is no singnificant differences between two groups in puncture site hematoma,thrombophlebitis, catheter obstruction or extrusion,catheter dislocation(P>0.05). Conclusion One-stitch subcutaneous tunnel inserted central catheter through femoral vein was effect to prevent catheter-related infection and prolong the retention time of catheter.It is worth application for tumor patients.更多还原