头圈式俯卧位垫在肿瘤患者中心静脉置管过程中的应用

The clinical application of head-ring type posture pad used for prone position in performing the placement of central venous catheter in patients with tumors

目的探讨头圈式俯卧位体位垫在肿瘤患者经前臂背侧静脉置入中心静脉导管(PICC)过程中的依从性。方法将80例肿瘤患者随机分为两组,进行PICC穿刺,对照组38例,俯卧位头偏一侧;观察组42例,使用头圈式俯卧位体位垫。研究两组PICC穿刺过程中均按医嘱给予心电监测并观察其舒适度、呼吸节率、经皮血氧饱和度(SpO2)、心率变化。结果在穿刺过程中:观察组与对照组舒适度、呼吸节率、SpO2和心率变化差异有统计学意义;结论头圈式俯卧位垫在肿瘤患者经前臂背侧静脉置入中心静脉导管(PICC)过程中的舒适度高,依从性强。

Objective To observe the effectiveness of head-ring type posture pad used for prone position in performing the procedure of peripheral insertion of central catheter（PICC） via the dorsal forearm vein in patients with neoplasm.Methods A total of 80 consecutive tumor patients were randomly divided into two groups.PICC was carried out in all patients in prone position.In control group（n = 38） PICC was performed with patient＇s head inclining to one side,while in study group（n = 42） PICC was performed with the help of head-ring type pad to keep the patient in comfortable posture.The comfortableness,breathing rhythm,transcutaneous oxygen saturation and the change of heart rate during the procedure were observed.The results were analyzed and compared between the two groups.Results The results in study group were much better than those in control group.Statistically significant difference in the comfortableness,breathing rhythm,transcutaneous oxygen saturation and heart rate existed between the two groups.Conclusion The head-ring type posture pad used for prone position can make the patients more comfortable in performing peripheral insertion of central venous catheter via the dorsal forearm vein.