摘要
目的:了解PICC置管在老年患者胃肠外营养中的应用。方法:将110例患者分为A、B两组,其中A组59例接受PICC置管,B组51例接受股静脉置管,对比两组穿刺成功率及并发症发生率。结果:A组穿刺成功率为93.22%,B组穿刺成功率为78.4%,A组明显高于B组(χ2=5.08,P<0.05);A组的并发症发生率与B组相比,局部渗血(59.3%vs 80.4%),χ2=5.6867;导管脱落(1.7%vs 15.7%),χ2=7.1281;局部感染(1.7%vs 11.8%),χ2=4.6550;误入动脉(0 vs 9.8%),A组并发症发生率明显低于B组,两组间比较差异具有统计学意义(P<0.05)。结论:在高龄老年患者肠外营养的应用中,PICC置管可以安全有效地替代股静脉置管。
Objective:To investigate the application of PICC catheter in elderly patients parenteral nutrition.Methods:110 cases were divised into 2 groups,59 patients received PICC catheter,51 patients received femoral vein catheter,comparing the two groups of puncture success ratio and complications.Results:The puncture success rate of catheter PICC obviously above of femoral vein catheter(P0.05),and complications of bleed,straying artery,catheter falls off,and infection were significantly lower than of femoral vein catheter.Conclusion:In elderly patients parenteral nutrition applications,PICC catheter can safely and effectively substitute of femoral vein catheter.
出处
《中国医药导报》
CAS
2011年第9期162-163,共2页
China Medical Herald
关键词
PICC置管
老年患者
肠外营养
PICC catheter
Elderly patients
Parenteral nutrition