不同深静脉置管方法的临床观察及比较

目的探讨经外周静脉行中心静脉置管（peripherally inserted central catheters, PICC）、颈内静脉置管和股静脉置管方法的效果。方法120例需深静脉置管的病人随机分为三组：A组（PICC置管）、B组（颈内静脉置管）、c组（股静脉置管），每组40例。对比各组的操作成功率、操作时间及导管置入通畅程度及并发症。结果三组总穿刺成功率、操作时间、导管置入通畅程度比较，无明显差异（P〉0．05）；一次穿刺成功率，A组高于B、C组（P〈0．05）；三组在发生静脉炎、误入动脉及导管脱落方面差异有显著性（P〈0．05）。结论三组深静脉置管均为成熟安全的护理操作技术，在临床上各有利弊，可以互补，PICC组优干颈内静脉组和股静脉组。

Comparison of the effect in different kinds of deep venous catheterization

Objective: To compare the effect of peripherally inserted central catheter(PICC) with internal jugular vein cannulation and thigh venous catheterization by clinical application.Methods:120 patients were allocated randomly into three groups with 40 in each: Group A(PICC),B(internal jugular vein cannulation) and C(thigh venous catheterization).The success rate of operation,operative time,the unobstructed degree of catheter and complications were compared respectively.Results:There was no obvious difference in...