PICC导管在长期留置深静脉导管高龄老年患者中的应用效果

目的观察peripherallyinsertedcentralcatheter（PICC）导管在长期留置深静脉导管高龄老年患者中的应用效果及并发症。方法收集80岁及以上需要长期留置深静脉导管的高龄患者132例。按穿刺途径不同分为两组：PICC导管组（n=72）和颈内静脉组（n=60）。结果PICC导管留置时间较颈内静脉组显著延长，分别为（146．84±100．46）d和（36．60±35．61）d，两组相比差异有统计学意义（P〈0．01）。PICC导管组导管相关性感染和滑脱分别为2例和1例，均较颈内静脉组（10例和9例）显著减少（均P〈0．05）。结论高龄老人可应用PICC导管，留置时间长，安全性好，并发症少，值得临床上推广应用。

Effects of peripherally inserted central catheter (PICC) on the internal jugular venous catheter in elderly patients

Objective To observe the intubation effects and complications of peripherally inserted central catheter （PICC） in elderly patients. Methods 132 patients with age ≥ 80-year-old underwent the long-term intravenous therapy. The patients were divided into two groups by different insertion methods： 72 patients in the PICC group and 60 patients in the internal jugular venous catheter group. Results Compared with internal jugular venous catheter group, PICC group had a longer time of intubation （146.84 ± 100.46 days vs 36.60±35.61 days, P〈0.01）, and a lower rate of catheter-related infection （2 vs 10, P〈0.05） and a lower incidence of catheter slippage （1 vs 9, P〈0.05）. Conclusion PICC has longer time of intubation, higher safety and less complication, which is a recommendable technique in the elderlv patients.