超声引导下腋静脉穿刺置入PICC导管的临床应用

Clinical application of ultrasound-guided axillary vein puncture for PICC catheter implantation

目的探讨应用超声引导下腋静脉穿刺置入PICC的应用。方法选取2017年1月~2018年1月在浙江中医药大学附属温州中医院病房需要进行中心静脉置管的患者76例,按随机数字表法分为试验组和对照组。试验组33例,使用超声引导下腋静脉穿刺置入PICC导管;对照组43例,使用超声引导下腋静脉穿刺置入中心静脉导管(CVC导管)。记录并比较两组置管成功率、留置导管时间、并发症发生率。结果试验组置管成功率与对照组比较差异无统计学意义(P>0.05);试验组导管留置时间较对照组长(P<0.05);试验组导管相关并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论超声引导下腋静脉穿刺置入PICC导管操作安全可行,拓展了PICC置管位置。

Objective To explore the application of ultrasound-guided axillary vein puncture for PICC catheter im- plantation. Methods From January 2017 to January 2018, 76 patients that needed central venous catheterization in Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University were selected and randomly divided into experimental group and control group according to random number table method. The experimental group （33 cases） was treated with ultrasound-guided axillary in axillary vein puncture for PICC catheter implantation. The control group （43 cases） was treated with ultrasound-guided axillary in axillary vein puncture for the central venous catheter （CVC） implantation. The success rate of catheterization, indwelling catheter time and complication rate were recorded and compared between the two groups. Results There was no significant difference in the success rate of catheterization between the two groups （P 〉 0.05）; the indwelling catheter time in the experimental group was longer than that of the control group （P 〈 0.05）; the rate of catheter-related complications in the experimental group had no difference with that in the control group （P 〉 0.05）. Conclusion PICC catheter implantation with ultrasound-guided in axillary vein puncture is safe and practical, expanding the area of PICC catheter.