恶性肿瘤患者超声引导下PICC置管效果分析

The Clinical Analysis of Efficacy of the Placement of PICC Under the Guid-ance of Ultrasonography in Patients with Malignant Tumor

目的研究恶性肿瘤患者超声引导下的PICC置管方法并进行效果分析,为临床应用超声技术引导PICC置管提供新的思路与方法。方法观察组采用超声技术引导下的PICC置管方式,对照组采用常规肉眼判断置管方式,比较两种方式的一次成功率,出血情况以及并发症情况。结果两组一次成功率、出血情况、静脉炎发生情况差异均具有统计学意义,观察组一次成功率(94.9%)高于对照组一次成功率(85.0%),观察组在出血例数和出血时间均优于对照组,观察组静脉炎发生率(7.3%)低于对照组静脉炎发生率(14.4%),而堵管和血栓形成差异无统计学意义。结论在恶性肿瘤患者中,超声引导下PICC置管在成功率方面、出血情况和静脉炎发生率均优于常规方式,有助于提高静脉穿刺质量,缓解静脉炎并发症的产生。

Objective The malignant tumor patients with PICC catheter guided by ultrasound methods and effect analysis, for the clinical application of ultrasonic technology to guide will provide a new idea and method of PICC catheter. Methods Observation group using ultrasound guided by way of PICC catheter, The control group using conventional way judgment to the naked eye,compare two ways a success rate, bleeding and complications. Results Two groups of a success rate, bleeding, phlebitis, differences were statistically significant,observation group a success rate（94.9%） than the control group a success rate（85.0%）, the hemorrhage cases and bleeding time observation group were better than the control group,Observation group, the incidence of phlebitis（7.3%） is lower than the control group in the incidence of phlebitis（14.4%）,While blocking pipe and there was no statistically sig-nificant difference thrombosis. Conclusion In patients with malignant tumor, the PICC catheter guided by ultrasound in terms of success rate, bleeding, and the incidence of phlebitis were superior to the conventional way, help to improve the quality of puncture, ease of phlebitis complications.