平面内与平面外技术在超声引导下PICC置管中的效果观察

The effect observation of plane technology and out of the plane technology in ultrasound-guided PICC catheter

目的：探讨在彩色多普勒引导下PICC置管穿刺过程中采用平面内技术与平面外技术的应用效果。方法：选取2015年1-12月在我院行超声引导下PICC置管患者130例,并随机等分为超声引导下平面内技术组（A组）和平面外技术组（B组）。观察两组穿刺用时和一次穿刺成功率。结果：彩色多普勒引导下PICC置管穿刺过程中,A组穿刺时间长于B组;A组一针穿刺成功率低于B组,两组比较差异均有统计学意义（P〈0.05）。结论：超声引导下平面外技术更易掌握和操纵,且一次穿刺成功率高,穿刺操作时间短。

Objective： To explore the applicative effect of adopting plane technology and out of the plane technology in the PICC catheter puncture process under the guidance of Color Doppler. Methods： Selected 130 cases ultrasound- guided PICC catheter patients in our hospital from January to December,2015 and divided them into ultrasound- guided plane technology group（ group A） and out of the plane technology group（ group B）. The puncture time and the success rate of one- time puncture in two groups were observed. Results： In the PICC catheter puncture process under the guidance of color Doppler,the puncture time of group A was longer than group B; the success rate of one- time puncture in group A was lower than group B. The comparison difference of two group was of statistic significance（ P〈 0. 05）. Conclusion： Ultrasound- guided out of the plane technology was easy to master and operate. The success rate of one- time puncture was high and the puncture operation time was short.