通过小儿PICC置管采集血标本的安全性和有效性研究

The Efficacy and Safety of Blood Sampling Through 3Fr-PICC in Children

目的探讨通过3F-PICC置管采集血标本的有效性及安全性。方法选取38例留置PICC导管患儿,随机分为两组,对照组通过传统静脉穿刺方法采集血标本,实验组均通过3F-PICC置管采集血标本。记录PICC置管的基本数据,导管堵塞,采集血样的数量及次数,导管并发症。结果实验组采集血标本成功率为95.4%,两组静脉炎,局部渗血等并发症发生率差异无统计学意义(P>0.05),实验组堵管率虽高于对照组,但差异无统计学意义(P>0.05)。结论通过PICC置管采集血标本是安全并有效的,可以在儿科护理中推广。

Objective To explore the efficacy and safety of blood sampling through 3F - PICC. Methods 38 children undergoing the placement of a 3 - Fr PICC were randomly divided into the experiment group and the control group. Blood samples were collected with conventional venipuncture method in control group and through 3Fr - PICC in experiment group. The basic date of PICC device, catheter occlusion, quantity and frequency of blood sampling, and catheter compli- cations were recorded. Results Blood sampling was successful in 21 of 22 attempts （95.4%）. There were no significant differences between the two groups in the incidence of complications such as phlebitis and local bleeding（ P 〉 0.05 ）. There was a higher incidence of catheter occlusion in experiment group than in the controls（ P 〉 0.05）. However, no statistically significant difference was found. Conclusions 3Fr - PICC is effective and safe way for blood sampling and can be further applied in pediatric nursing.