改良体位在PICC置管术中的临床应用研究

Clinical application of improved body position in PICC catheterization

目的探讨改良体位在提高PICC置管术一次性置管成功率以及降低其并发症发生率中的应用价值。方法将120例肺癌术后患者随机分为改良体位(半坐卧位)PICC组与传统体位(平卧位)PICC组。比较2组一次性置管成功率以及置管后并发症发生率。结果半坐卧位组与平卧位组在PICC一次置管成功率方面差异有统计学意义(P<0.05)。半坐卧位组行PICC所需时间较平卧位组显著缩短(P<0.05),且置管后穿刺口局部水肿及局部炎症的发生率显著较低(P<0.05)。结论改良体位即半坐卧位可有效降低PICC置管术导管异位发生率,提高一次性置管成功率。

Objective To explore the clinical value of improved body position in improving one- time success rate of PICC and reducing incidence rate of complications during PICC. Methods A total of 120 patients with lung cancer surgery were randomly divided into traditional body position group and improved body position group. One- time success rate and incidence rate of complications during PICC were compared between two groups. Results There was significant difference in one-time success rate of PICC between semi- reclining position group and supine group（ P 0. 05）.Compared with the supine group,the time of PICC in the semi- reclining position group was significantly shorter（ P 0. 05）,and the incidence rates of local edema and local inflammation around puncture point was significantly lower（ P 0. 05）. Conclusion The modified semi- reclining position can effectively improve one- time success rate of PICC and reduce the incidence rates of misplaced PICC and complications.