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目的探讨外周静脉植入中心静脉导管(PICC)采用肘上置管与肘下置管时所发生机械性静脉炎的情况。方法将在我院就诊的16例PICC置管置于贵要静脉患者随机分成两组,肘上组8例,肘下组8例。肘上组采用B超引导下改良的塞丁格技术于肘关节两指以上置管,肘下组采用盲穿方式,置管位置选择在肘关节以下及肘关节部位置管,观察分析两组患者置管后发生机械性静脉炎的情况。结果肘上组共计发生0例机械性静脉炎,发生几率占组数的0%,肘下组共计发生1例机械性静脉炎,发生几率占组数的12.5%。两组相比具有统计学意义(P<0.05)。并且肘上组一次穿刺穿刺成功率、患者对护理满意度均明显高于肘下组,两组差异具有统计学意义(P<0.05)。结论 B超引导下改良的塞丁格技术于肘关节两指以上置管出现机械性静脉炎的几率较低,患者带管更为舒适,对护理的满意度更高,且护理维护更方便,值得临床推广。
Objective To investigate the situation of mechanical phlebitis in peripheral vein implantation of central venous catheter (PICC) with elbow and elbow catheterization. Methods Sixteen cases of PICC catheter placed in our hospital were randomly divided into two groups, 8 cases in the elbow group and 8 cases in the elbow group. The elbow group under the guidance of B-guided modified Sedingge technology in the elbow more than two sets of catheterization, the elbow group using blind wear mode, the catheter position below the elbow in the elbow and the joint position of the tube, the observation and analysis of two groups Patients with mechanical phlebitis after catheterization. Results A total of 0 cases of mechanical phlebitis occurred in the elbow group, the incidence of 0% of the group, a total of 1 case of mechanical phlebitis in the elbow group, the probability of 12.5% of the group. The two groups were statistically significant (P <0.05). And the successful rate of puncture and puncture in the elbow group was significantly higher than that in the elbow group, the difference between the two groups was statistically significant (P <0.05). Conclusions The modified Sending technique under B-guided ultrasonography has a lower risk of mechanical phlebitis when placed over two fingers of the elbow. The patient is more comfortable with the tube, higher satisfaction with nursing and more convenient nursing care, Worth clinical promotion.