连续X线透视辅助下由静脉造影引导的PICC置管术的临床价值

Clinical Value of Venography-guided PICC Catheterization Assisted by Continuous Radiography

本研究旨在探讨分析在静脉造影引导及连续X线透视辅助下进行经外周穿刺中心静脉导管(PICC)置管术的临床应用效果。将患者按照随机数表法将所有入选病例分为实验组和对照组(对照组采用常规方法行PICC置管术),对比两组患者PICC置管术成功率、并发症。结果显示,PICC置管术一次性的成功率实验组为100%,对照组为90%。实验组患者中静脉血栓、静脉炎、导管脱出异位的发生率均为0%,局部皮肤感染发生率为2.00%;对照组患者中静脉血栓的发生率为2.00%,静脉炎发生率为6.00%,局部皮肤感染的发生率为10.00%,导管脱出异位发生率为6.00%,并发症的总发生率为24%。实验组患者的术后并发症发生率明显小于对照组(P<0.05)。证明在静脉造影引导及连续X线透视辅助下进行PICC置管,可有效提高患者的PICC置管术成功率,能及时、有效地预防和解决PICC置管并发症的发生。

The purpose of this study was to analyze the clinical effects of peripherally inserted central catheter(PICC)catheterization in our hospital with the guidance of venography and continuous radiography.All selected cases were divided into experimental group and control group according to the random number table method(the control group received PICC catheterization in the conventional way).The success rate and complications of PICC catheterization were compared between the two groups of patients.The results showed that the one-time success rate of PICC catheterization was 100%in experimental group and 90%in control group.The incidence of venous thrombosis,phlebitis,and catheter ectopic in experimental group was 0%,and the incidence of local skin infection was 2.00%.The incidence of venous thrombosis in control group was 2.00%,and the incidence of phlebitis was 6.00%,The incidence of local skin infections was 10.00%,the incidence of ectopic catheter prolapse was 6.00%,and the total incidence of complications was 24%.The incidence of postoperative complications was significantly lower in experimental group than in control group(P<0.05).In summary,PICC catheterization under the guidance of venography and continuous X-ray fluoroscopy can effectively improve the success rate of PICC catheterization in patients,and can prevent and solve the complications of PICC catheterization in time and effectively.