视锐5^TM超声引导下改良塞丁格穿刺法用于老年高龄患者PICC置管的效果

目的探讨视锐5TM超声引导下改良塞丁格穿刺法应用于老年高龄患者PICC置管的效果。方法将66例需行PICC穿刺的老年高龄患者随机分为观察组和对照组,每组各33例,观察组采用视锐5TM超声引导下改良塞丁格穿刺法,对照组采用常规PICC置管法或盲穿法。结果两组患者的舒适度、一针穿刺率、一次置管成功率、穿刺点出血发生率比较,差异有统计学意义（P〈0.05,P〈0.01）。结论视锐5TM超声引导下改良塞丁格穿刺法可显著提高老年高龄患者PICC穿刺置管成功率,减少穿刺点出血发生率,保证置管效果,值得临床推广应用。

Effects of Modified Seldinger Technique Guided by Site-rite V Ultrasonic in Peripherally Inserted Central Catheter of Elderly Patients

Objective To explore the application effect of modified seldinger technique guided by Siterite V ultrasonic in peripherally inserted central catheter（PICC）of the elderly patients.Methods Sixty-six elderly patients required to undergo PICC were randomly divided into the observation group（n=33）and the control group（n=33）.Patients in the observation group adopted modified seldinger technique guided by Sit-rite V ultrasonic while patients in the control group received routine PICC method or blind biopsy method.Results Significant differences were observed among the comfort feeling level,the rate of one-time needle biopsy,the success rate of one-time catheter and the incidence of puncture site bleeding between the two groups（P0.01,P0.05）.Conclusion Modified seldinger technique guided by Sit-rite V ultrasonic can significantly improve the success rate of PICC,reduce the incidence of puncture site bleeding and ensure catheter effects in elderly patients,which deserves further clinical application.