| 晁青,李格丽,刘琼,等.胸片定位法在经外周静脉置入中心静脉导管中的应用[J].安徽医药,2019,23(12):2404-2406. |
| 胸片定位法在经外周静脉置入中心静脉导管中的应用 |
| Effect of chest radiography in PICC for the cancer patients |
| |
| DOI：10.3969/j.issn.1009?6469.2019.12.018 |
| 中文关键词: 导管插入术，中心静脉 解剖标志 身体测量 放射摄影术，胸部 定位标记 肿瘤病人 体表测量公式 |
| 英文关键词: Catheterization,central venous Anatomic landmarks Body measurement Radiography,thoracic Fiducial markers Cancer patient Body surface measurement formula |
| 基金项目:陕西省自然科学基础研究计划项目(2018JM7150) |
|
| 摘要点击次数: 1863 |
| 全文下载次数: 655 |
| 中文摘要: |
| 目的探讨胸片定位法在肿瘤病人经外周静脉置入中心静脉导管(PICC)中的应用效果，为临床 PICC置管提供参考依据。方法选取 2016年 6月至 2018年 5月在西安交通大学第一和第二附属医院肿瘤病房住院需要 PICC置管进行化疗的肿瘤病人 290例，采取非同期对照法分为观察组和对照组(每组各 145例)，对照组采取体表测量计算 PICC置管长度，观察组采取胸片定位法得出 PICC置管长度，比较两组置管长度调整率、置管成功率、病人满意度及置管并发症的发生率。结果胸片定位法观察组置管长度总调整率为 0.69%，较对照组 4.83%低(P＜0.05)；观察组置管成功率为 99.31%，高于对照组 93.79%(P＜ |
| 英文摘要: |
| Objective To explore the application effect of chest radiography in peripherally inserted central catheter(PICC)cathe? terization in cancer patients，so as to provide a basis for placing catheterization.Methods Two hundred and ninety cancer patients were included，who were hospitalized in The First Affiliated Hospital and The Second Affiliated Hospital From July 2016 to May2018 and who needed to undergo chemotherapy via PICC.Non?concurrent control method was used to assign the patients into obser?vation group(n＝145)and control group(n＝145).The control group adopted body surface measurement to calculate the length ofPICC catheter while the observation group used chest radiography to measure the length of PICC catheter.A comparison was madebetween the two groups of the adjustment rate of catheter length，the success rate of catheterization，patient satisfaction and the inci? dence of complications.Results In the observation group，the adjustment rate of catheter length was 0.69%，lower than 4.83% of the control group(P＜0.05).The success rate of catheterization in the observation group was higher than that of the control group(99.31% vs. 93.79%)(P＜0.05).The incidence of complications in the observation group was lower than that of the control group(0.69% vs. 4.83%)； the difference was statistically significant(P＜0.05).The satisfaction rate in the observation group was higher than that of the control group(97.24% vs. 89.66%)； the difference was statistically significant(P＜0.05).Conclusion Chest radi? ography can improve the success rate of PICC catheterization in patients with cancer，decrease the adjustment rate of catheter length， reduce the incidence of complications，and improve patient satisfaction，which is worthy of clinical popularization and application. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
