EKG辅助PICC导管尖端定位技术的问题及干预方法探析
|
摘要
目的对EKG辅助PICC导管尖端定位技术存在的问题进行了分析,并提出对应的干预方法。方法将2017年12月-2018年12月到我院接受EKG辅助PICC导管尖端定位技术治疗的250例患者选取为研究对象,将其随机分为对照组和干预组,每组均为125例,对EKG辅助PICC导管尖端定位技术存在的问题进行分析,并提出对应的干预方法,对干预组患者实行对应的干预方法,而对照组则不做任何干预,对比两组患者PICC导管异位、脱出发生情况。结果对照组的导管脱出率、异位率和并发症发生率均明显高于干预组,差异具备统计学意义(P<0.05)。结论在采取EKG辅助PICC导管尖端定位技术时实施对应的干预措施,可以有效的降低导管脱出、异位及并发症发生率。
Objective To analyze the problems of EKG-assisted PICC catheter tip positioning technology and put forward corresponding intervention methods. Methods 250 patients who received EKG-assisted PICC catheter tip positioning technology in our hospital from December 2017 to December 2018 were randomly divided into control group and intervention group. Each group consisted of 125 patients. The problems of EKG-assisted PICC catheter tip positioning technology were analyzed, and the corresponding intervention methods were put forward. The intervention group was given corresponding intervention methods. The control group did not do any intervention, and compared the occurrence of PICC catheter ectopia and detachment between the two groups. Results The catheter detachment rate, ectopic rate and complication rate in the control group were significantly higher than those in the intervention group, with statistical significance(P<0.05). Conclusion EKG-assisted PICC catheter tip positioning can effectively reduce the incidence of catheter prolapse, ectopic and complications.
Objective To analyze the problems of EKG-assisted PICC catheter tip positioning technology and put forward corresponding intervention methods. Methods 250 patients who received EKG-assisted PICC catheter tip positioning technology in our hospital from December 2017 to December 2018 were randomly divided into control group and intervention group. Each group consisted of 125 patients. The problems of EKG-assisted PICC catheter tip positioning technology were analyzed, and the corresponding intervention methods were put forward. The intervention group was given corresponding intervention methods. The control group did not do any intervention, and compared the occurrence of PICC catheter ectopia and detachment between the two groups. Results The catheter detachment rate, ectopic rate and complication rate in the control group were significantly higher than those in the intervention group, with statistical significance(P<0.05). Conclusion EKG-assisted PICC catheter tip positioning can effectively reduce the incidence of catheter prolapse, ectopic and complications.
引文
[1]朱芳,邱赛男,樊玉花,等.生理盐水水注法引出腔内心电图在PICC带管入院患者导管尖端位置判断中的应用[J].护理学报,2018(23):58-60.
[2]陶丽娟,沈练林,陈会荣,等.左侧颈内静脉置入带涤纶套导管尖端误入右侧头臂静脉1例[J].临床肾脏病杂志,2018,18(11):719-720.
[3]邱昊,彭娜.运用导管漂浮原理调整PICC导管异位至颈内静脉的临床研究[J].护士进修杂志,2018,33(21):2001-2003.
[4]张俊,于银梅.心电图引导技术在经外周静脉置入中心静脉导管尖端定位中的临床应用[J].中国民间疗法,2018,26(09):71-72.
[5]涂晶,邱艳容,黄巧红,等.心电导联多普勒超声引导技术在PICC导管尖端定位中的应用[J].福建医药杂志,2018,40(02):139-140.
[6]刘蓓,孙巧玲,刘惠丽.PICC导管尖端位置判定方法的研究进展[J].实用临床护理学电子杂志,2018,3(07):191-192.
[7]张小田,周凤英.超声导管尖端定位技术在早产儿PICC置管中的应用价值研究[J].中国超声医学杂志,2018,34(01):40-43.
[8]汪华萍,杨利霞,章玉英,等.腔内心电图引导PICC尖端定位准确性研究[J].实用医学杂志,2017,33(23):3995-3997.
[9]郑春华,吴贤翠.腔内心电图技术定位PICC导管尖端位置的临床应用研究[J].护理研究,2016,30(33):4208-4209.
[10]姜桂春.应用心房内心电图辅助PICC导管尖端定位的效果评价[J].中国护理管理,2016,16(06):743-746.
[11]雷文兰,鄢秀英.腔内心电图引导下经外周静脉置入中心静脉导管尖端定位的应用效果观察[J].华西医学,2016,31(05):949-951.
[2]陶丽娟,沈练林,陈会荣,等.左侧颈内静脉置入带涤纶套导管尖端误入右侧头臂静脉1例[J].临床肾脏病杂志,2018,18(11):719-720.
[3]邱昊,彭娜.运用导管漂浮原理调整PICC导管异位至颈内静脉的临床研究[J].护士进修杂志,2018,33(21):2001-2003.
[4]张俊,于银梅.心电图引导技术在经外周静脉置入中心静脉导管尖端定位中的临床应用[J].中国民间疗法,2018,26(09):71-72.
[5]涂晶,邱艳容,黄巧红,等.心电导联多普勒超声引导技术在PICC导管尖端定位中的应用[J].福建医药杂志,2018,40(02):139-140.
[6]刘蓓,孙巧玲,刘惠丽.PICC导管尖端位置判定方法的研究进展[J].实用临床护理学电子杂志,2018,3(07):191-192.
[7]张小田,周凤英.超声导管尖端定位技术在早产儿PICC置管中的应用价值研究[J].中国超声医学杂志,2018,34(01):40-43.
[8]汪华萍,杨利霞,章玉英,等.腔内心电图引导PICC尖端定位准确性研究[J].实用医学杂志,2017,33(23):3995-3997.
[9]郑春华,吴贤翠.腔内心电图技术定位PICC导管尖端位置的临床应用研究[J].护理研究,2016,30(33):4208-4209.
[10]姜桂春.应用心房内心电图辅助PICC导管尖端定位的效果评价[J].中国护理管理,2016,16(06):743-746.
[11]雷文兰,鄢秀英.腔内心电图引导下经外周静脉置入中心静脉导管尖端定位的应用效果观察[J].华西医学,2016,31(05):949-951.