复合定位法在肿瘤化疗患者经外周静脉置入中心静脉导管异位中的应用

目的 探究复合定位法在肿瘤化疗患者经外周静脉置入中心静脉导管(PICC)异位中的临床应用效果。方法 以PICC置管的120例患者作为研究对象,随机分为对照组和观察组,每组各60例,对照组患者采用临床常规PICC外测量法与置管方法,观察组患者采用PICC复合定位法。比较两组患者PICC置管成功率(包括一次置管成功率、尖端位置最佳率、导管最终到位率)以及患者满意度。结果 观察组患者PICC置管成功率高于对照组患者的置管成功率,P<0.05;观察组患者PICC置管后满意度高于对照组患者满意度,P<0.05。结论 肿瘤化疗患者采用PICC复合定位法测量准确性高,一次置管成功率、尖端位置最佳率、导管最终到位率高,能够有效提高PICC置管成功率,并预防及调整PICC导管异位,提高患者满意度,安全有效,值得临床应用推广。

Study of compound localization in PICC ectopic in tumor chemotherapy patients

Objective To investigate the clinical effect of combined localization in peripherally inserted central venous catheter (PICC) chemotherapy of tumor patients.Methods One hundred and twenty patients with PICC were selected as the research objects, and they were randomly divided into the control group and the observation group, with 60 cases in each group. PICC external measurement and catheterization were used in patients in the control group, and PICC combined positioning method was used in patients in the observation group. The success rate of PICC catheterization (including single catheter success rate, tip position optimal rate, catheter final placement rate) and patient satisfaction were compared between the two groups.Results The success rate of PICC in the observation group was much higher than that in the control group, P<0.05. The satisfaction of the PICC in the observation group was much higher than that of the control group, P<0.05.Conclusion Tumor chemotherapy patients use the PICC composite positioning method to measure high accuracy, the success rate of one-time catheter placement, the optimal rate of the tip position, and the final catheter placement rate are high, which can effectively improve the success rate of PICC catheterization, prevent and adjust ectopic PICC catheter, improve patient satisfaction. It is safe and effective, so it is worthy of clinical promotion.