摘要
目的探讨腔内心电图技术联合B超在导管异位预防与诊断的应用效果。方法选取我院置入PICC肿瘤患者2 713例,将2015年1—6月收治1 370例肿瘤患者为对照组,B超引导下PICC置管;2015年7—12月的1 343例肿瘤患者为观察组,腔内心电图技术联合B超引导下PICC置管。观察比较2组患者置管术中导管异位发生率、导管异位诊断失误率。结果观察组和对照组在置管术中导管异位发生率分别为3.13%(42/1 343)和5.40%(74/1 370),观察组导管异位发生率低于对照组(P<0.05)。其中有9例导管异位患者在术中未及时发现,而是在术后X线定位中确诊。观察组的术中导管异位即时诊断失误率低于对照组(P<0.05)。结论腔内心电图技术联合B超能有效预防和诊断导管异位,从而实现早期导管异位调整,减少术后导管异位返调率。
Objective To explore the effect of B-ultrasound combined with electrocardiography in the prevention of catheter tip malposition. Methods From January 2015 to December 2015, a retrospective study with a sample of 2,713 cases was carried out, of which 1,370 cases accepting PICC catheterization guided by B-ultrasound combined with electrocardiography in the first half of 2015 were concluded in the control group, and 1,343 cases accepted PICC catheterization in the latter half of the year in experimental group. Intraoperative catheter tip malposition rate, malposition location and intraoperative malposition diagnosis error rate were compared. Results The intraoperative catheter tip malposition rate of experimental and control group was 3.13 %（42/1 343） and5.40%（74/1 370） respectively and there were significant differences between the two groups（P〈0.05）. Nine cases with tip malposition were misdiagnosed intraoperatively but diagnosed by postoperative X-ray. There was lower intraoperative malposition diagnosis error rate in experimental group（P〈0.05）. Conclusions B-ultrasound combined with electrocardiography can effectively diagnose and prevent catheter tip malposition, which benefits adjusting the catheter timely.
出处
《护理学报》
2017年第23期67-70,共4页
Journal of Nursing（China）
基金
四川省卫计委课题(130277)
关键词
PICC
B超
腔内心电图
导管异位
预防
PICC
B-ultrasound
electrocardiography
catheter malposition
prevention
