改良塞丁格技术在白血病患儿PICC置管中的应用研究

Application research of modified Seldinger technique in PICC indwelling catheter for children with leukemia

目的探讨改良塞丁格技术在白血病患儿PICC置管中的临床应用效果。方法 80例行PICC置管的白血病患儿采用随机数字表法分为观察组和对照组,各40例。观察组使用改良塞丁格技术行PICC置管,对照组按传统方法行PICC置管。观察比较两组患儿置管成功率、周围组织损伤情况,静脉炎发生率。结果观察组置管成功率明显高于对照组,并发症发生率明显低于对照组。结论应用改良塞丁格穿刺技术,提高了白血病患儿PICC置管成功率,减少了并发症。

Objective To explore the clinical application effect of modified Seldinger technique in PICC indwelling catheter for children with leukemia. Methods A total of 80 children with leukemia, who underwent PICC indwelling catheter, were divided into observation group and control group with 40 cases in each group, by random number table. The observation group underwent PICC indwelling catheter through modified Seldinger technique, while the control group underwent PICC indwelling catheter through traditional method. The success rate of indwelling catheter, injury of surrounding tissue, and incidence of phlebitis were observed and compared between the two groups. Results The success rate of indwelling catheter was higher in the observation group than the control group, and incidence of complications was lower in the observation group than the control group. Conclusion The application of modified Seldinger technique improves the success rate of PICC indwelling catheter for children with leukemia, and reduces complications.