外周血管条件差患者彩色多普勒超声引导下行PICC的可行性研究

Feasibility study of using color ultrasound guidance performed PICC in patients with poor peripheral vascular conditions

目的 探讨外周血管条件差的患者彩色多普勒超声引导下行经外周中心静脉置管（PICC）的可行性.方法 将324例需行PICC的患者分为盲穿组、彩超组和塞丁格组,分别行盲穿、彩超引导、塞丁格穿刺,对其置管一次成功率和术后并发症进行比较.结果 三组一次置管成功率和术后并发症发生率比较差异均有统计学意义（P＜0.05）,彩超组一次置管成功率最高,术后并发症发生率最低.结论 对于外周血管条件差的患者采用彩色多普勒超声引导下直刺行PICC可提高穿刺成功率及患者满意度,降低并发症发生率,节约医疗成本,特别是对于外周血管条件差且经济困难的患者,更能突显其优势.

Objective To investigate the feasibility of ultrasound guidance performed peripherally inserted central catheter（PICC） in patients with poor peripheral vascular.Methods Three hundred and twenty-four patients need PICC were divided into blind wear group,color doppler ultrasound group and seldinger group,which performed blind wear,color Doppler ultrasound guidance,Seldinger puncture,respectively.The catheter once success rate and postoperative complications were compared.Resuits Comparing the successful rate of catheterization and postoperative complication rate,the difference was statistically significant,ultrasound catheter group once success rate was the highest,the incidence of postoperative complications was the lowest.Conclusions For patients with poor peripheral vascular,PICC under ultrasound guidance puncture can improve the successful rate and satisfaction of patients,reduce the incidence of complications,save medical costs,especially for poor peripheral vascular condition and the economic difficulties of the patients.