无痛诊疗技术在超声PICC置管患儿中的应用效果研究

目的 探讨无痛诊疗技术在超声引导下儿童经外周静脉穿刺中心静脉置管术（peripherally inserted central catheter，PICC）中的应用效果。方法 选取笔者医院2021年1月至2023年1月拟行PICC的患儿82例，用随机数字表法将其分为对照组、观察组，每组41例；对照组行常规超声引导下PICC置管术，观察组行无痛诊疗技术超声引导下PICC置管术；对比两组置管成功率、置管完成时间，患儿疼痛程度[儿童疼痛行为量表（children’s pain behavior scale，FLACC)]，耐受度[Houpt行为量表（Houpt behavior scale，HBS）]，依从性[Frankl量表（Frankl scale，FCS）]及家属满意度。结果 观察组置管成功率较对照组高，置管时间较对照组短，差异有统计学意义（P<0.05）；观察组FLACC评分较对照组低，HBS评分、FCS评分较对照组高，差异有统计学意义（P<0.05）；观察组家属总满意度较对照组高，差异有统计学意义（P<0.05）。结论 无痛诊疗技术用于超声引导下儿童PICC置管术可提高置管成功率，缩短置管时间，减轻患儿疼痛程度，增强耐受性、依从性，提升家属满意度。

Application and research of painless diagnosis and treatment technology in ultrasound-guided PICC catheterization in children

Objective To explore the application of painless diagnosis and treatment technology in children’s peripherally inserted central catheter (PICC) guided by ultrasound. Methods Totally 82 children who planned to undergo PICC in the hospital from January 2021 to January 2023 were selected and randomly divided into a control group and an observation group using a random number table method, with 41 cases in each group; The control group underwent conventional ultrasound guided PICC catheterization, while the observation group underwent painless diagnostic and therapeutic techniques using ultrasound guided PICC catheterization; Compare the success rate of catheterization, completion time of catheterization, degree of pain in the child pain [children’s pain behavior scale (FLACC)], tolerance [Houpt behavior scale (HBS)], compliance [Frankl scale (FCS)], and family satisfaction between the two groups. Results The success rate of catheterization in the observation group was higher than that in the control group, and the catheterization time was shorter than that in the control group, with a statistically significant difference (P<0.05). The FLACC score of the observation group was lower than that of the control group, while the HBS score and FCS score were higher than those of the control group, with a statistically significant difference (P<0.05); The total satisfaction of family members in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion The use of painless diagnosis and treatment technology in ultrasound-guided PICC catheterization in children can improve the success rate of catheterization, shorten the catheterization time, reduce the degree of pain in children, enhance tolerance and compliance, and improve family satisfaction.