超声引导下改良赛丁格技术PICC和传统PICC在困难置管中对比研究

Ultrasound-guided Modified Seldinger Technique PICC and Conventional PICC in the Study of the Difficult Comparison Tube

目的:比较床边超声引导下应用改良赛丁格技术行PICC置管与传统PICC置管在困难置管中的效果差异。方法:80例拟实施经浅静脉PICC置管的患者,随机分为对照组(常规盲穿)和观察组(超声定位引导穿刺),比较两组穿刺置管成功率、疼痛感及并发症发生率。结果:超声引导下较传统PICC置管对于困难血管可获得较高的一次性成功率,减少穿刺的痛苦,明显降低并发症的发生。结论:超声引导下改良赛丁格技术PICC置管,适合于外周静脉状况差,穿刺困难的患者,值得临床推广。

Objective：Comparison of bedside ultrasound guided by modified Seldinger technique in PICC and traditional PICC catheterization in difficult catheter in the effect of differences. Methods：In 80 cases of the implementation of the superficial vein catheter in patients with PICC, Were randomly divided into control group （conventional blind） and observation group （ultrasound guided puncture）, Comparison of two groups of puncture success rate, pain and the incidence of complications. Results：Under the guidance of ultrasound is better than traditional PICC catheter successfully obtains the higher for difficult vascular rate, reduce the pain, reduce complications. Conclusion：Ultrasound-guided modified Seldinger technique in patients with PICC catheter, especially suitable for peripheral venous conditions, its superiority is obvious, it is worthy of clinical application.