PICC导管尖端位置与并发症关系的研究

Study for the relationship befaeen the tip of PICC position and compliction

目的探讨PICC导管尖端位置与其并发症的关系。方法对我院208例进行PICC置管的患者,根据PICC导管尖端位置所在分组,A组导管尖端位于锁骨下静脉或腋静脉为异位;B组:导管尖端位于T5-7为适宜位置;C组:T8以下为进入心房,为位置过深。对三组患者导管尖端所处位置与并发症的关系进行观察研究。结果A组58例患者出现并发症27例,发生率46.55%,B组78例患者出现并发症10例,发生率12.82%,C组72例患者出现并发症11例,发生率15.28%。经统计学分析,差异有显著性意义(P<0.05)。结论在临床实践中应提高置管技术,使PICC导管尖端置于适宜位置,可明显减少并发症的发生。

Objective Discusses the tip of an with PICC position of the complications of relationship. Method Inour 208 an example for patients with the PICC, accord^ng to the tip of an in PICC position group, Group A tip of an subclavian vein group located in or axillary vein for ectopie; Group B is located in T6-7 for appropriate position;Group C for the atrium underT8 for the position is too deeply. Three groups of patients to the tip of an position and complications of the relationship of observational studies. Result A group of 58 patients 27 cases of complications,the rate was 46.55 %, B group 78 examples, complications, 10 cases rate wasl2.82% ,72 patients of group C, com- plications in 11, the rate was15.28%. The statistical analysis, significant difference （P〈0.05） . Conelusion In clin-ical practice should improve buy tube technology, make catheter for tips onappr- opriate PICC position, can obvi-ously reduce complications.