心电监护在PICC置管中的应用(1)
[摘要]目的 探討心电监护术中的心电定位在经外周静脉穿刺中心静脉导管(PICC)置管中的应用。方法 选取2016年3～12月我院收治的行PICC置管的100例患者作为研究对象，按照随机数字表法将其分为对照组(50例)与观察组(50例)，对照组采用B超引导下常规方法置管及体外X线定位的方法，观察组采用B超定位穿刺点及血管，连接心电监护仪进行置管的方法。比较两组患者的PICC置管效果(一次置管成功率、导管末端位置准确率)以及置管期间并发症(静脉炎、血栓)发生情况。结果 观察组患者的一次置管成功率、导管未端位置准确率均高于对照组，差异有统计学意义(P<0.05);观察组患者并发症总发生率低于对照组，差异有统计学意义(P<0.05)。结论 心电监护术中的心电定位在PICC置管中的应用价值较高，能够提高导管一次置管成功率和导管末端位置准确率，降低静脉炎和血栓情况的发生。
[关键词]心电定位;经外周静脉穿刺中心静脉导管;应用效果
[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721(2020)9(b)-0055-03
Application of electrocardiogram monitoring in PICC catheterization
LI Yi1 LONG Xiao-bin2
1. Department of General Surgery， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an 343000， China; 2. Department of Oncology， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an 343000， China
[Abstract] Objective To explore the application of electrocardiogram (ECG) positioning during ECG monitoring in peripherally inserted central catheter (PICC) catheterization. Methods A total of 100 patients who underwent PICC catheterization in our hospital from March to December 2016 were selected as objects. They were divided into control group (50 cases) and observation group (50 cases) according to the random number table method. The control group used B-ultrasound guided conventional tube placement and external X-ray positioning， and the observation group used B-ultrasound to locate the puncture point and blood vessel， and connect to the ECG monitor. The PICC catheterization effect (one-time catheterization success rate， catheter tip position accuracy rate) and complications (phlebitis， thrombosis) during catheterization were compared between the two groups. Results The success rate of one-time catheterization and the accuracy rate of catheter tip position in the observation group were higher than those of the control group， the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group， and the difference was statistically significant (P<0.05). Conclusion ECG positioning in ECG monitoring has a high application value in PICC catheterization， which can increase the success rate of one-time catheterization and the accuracy rate of catheter tip position， and reduce the occurrence of phlebitis and thrombosis.
[Key words] Electrocardiogram positioning; Peripherally inserted central catheter; Application effect, http://www.100md.com(李毅 龙晓彬)
[关键词]心电定位;经外周静脉穿刺中心静脉导管;应用效果
[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721(2020)9(b)-0055-03
Application of electrocardiogram monitoring in PICC catheterization
LI Yi1 LONG Xiao-bin2
1. Department of General Surgery， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an 343000， China; 2. Department of Oncology， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an 343000， China
[Abstract] Objective To explore the application of electrocardiogram (ECG) positioning during ECG monitoring in peripherally inserted central catheter (PICC) catheterization. Methods A total of 100 patients who underwent PICC catheterization in our hospital from March to December 2016 were selected as objects. They were divided into control group (50 cases) and observation group (50 cases) according to the random number table method. The control group used B-ultrasound guided conventional tube placement and external X-ray positioning， and the observation group used B-ultrasound to locate the puncture point and blood vessel， and connect to the ECG monitor. The PICC catheterization effect (one-time catheterization success rate， catheter tip position accuracy rate) and complications (phlebitis， thrombosis) during catheterization were compared between the two groups. Results The success rate of one-time catheterization and the accuracy rate of catheter tip position in the observation group were higher than those of the control group， the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group， and the difference was statistically significant (P<0.05). Conclusion ECG positioning in ECG monitoring has a high application value in PICC catheterization， which can increase the success rate of one-time catheterization and the accuracy rate of catheter tip position， and reduce the occurrence of phlebitis and thrombosis.
[Key words] Electrocardiogram positioning; Peripherally inserted central catheter; Application effect, http://www.100md.com(李毅 龙晓彬)