经外周置入中心静脉导管在外科感染性休克治疗中的临床应用

Clinical application of peripheral central venous catheter in the treatment of surgical septic shock

目的探讨经外周置入中心静脉导管(PICC)在外科感染性休克治疗中的临床应用价值。方法选取2018年12月—2020年12月会昌县人民医院收治的外科休克感染患者60例,按治疗方法不同,分为观察组(n=30)与对照组(n=30)。观察组采用PICC治疗,对照组采用外周静脉留置针(PIV)治疗,对比2组导管留置时间及相关并发症发生率。结果观察组导管留置时间较对照组长(P<0.05);观察组导管机械性并发症发生率为26.67%(8/30),较对照组的63.33%(19/30)低(P<0.05)。结论将PICC用于外科感染性休克治疗中可延长导管留置时间,减少导管机械性并发症发生风险。

Objective To investigate the clinical value of the peripheral implantation of the central venous catheter(PICC)in the treatment of surgical septic shock.Methods We selected 60 patients with surgical shock infection in~December2020 our hospital,divided into observation group(n=30)and control group(n=30).The observation group was treated with PICC and the control group with a peripheral intravenous retention needle(PIV).Results The catheter retention time of the observation group was long compared with the control group(P<0.05);the incidence of catheter mechanical complications of 26.67%(8/30)was lower than 63.33%(19/30)in the control group(P<0.05).Conclusion The use of PICC in surgical septic shock treatment can prolong the catheter retention time and reduce the risk of catheter mechanical complications.