PICC和锁骨下静脉置管在心力衰竭患者中的应用观察

目的观察外周静脉穿刺导入中心静脉置管（PICC）与锁骨下静脉置管（SVP）两种方法在心力衰竭患者中的应用效果。方法从心内科住院患者中选取64例置管的心力衰竭患者，其中PICC组30例，SVP组34例，分别观察两组的置管操作时间、1次置管成功率、留置时间及并发症的发生情况。结果PICC组置管操作时间短，为（16．3±3．4）main，留置时间长，为（34．7±5．3）d，与SVP组比较，差异有统计学意义（P〈0．05）；但是发生导管堵塞和静脉炎的例数明显增加（P〈0．05）。结论在临床应用中可根据PICC和SVP各自的特点以及患者的实际情况选择合适的方法进行静脉穿刺置管。

Observation on application of PICC and subclavian venous catheter in patients with heart failure

Objective To observe the effects of application of peripherally inserted central catheter (PICC) and subclavian vein puncture (SVP) in heart failure patients. Methods 64 inpatients with heart failure from cardiology department of our hospital were selected, with 30 patients in the PICC group and 34 patients in the SVP group. The operating time of catheterization, achievement rate of initial catheterization, indwelling time and complications were observed in the two groups, respectively. Results The operating time of catheterization (16.3±3.4min) in the PICC group was shorter than that in the SVP group. The indwelling time (34.7±5.3d) was markedly longer in the PICC group than that in the SVP group. The differences were significant statistically (P<0.05). The number of phlebitis and occlusion of catheter in the PICC group were more than those in the SVP group (P<0.05). Conclusions The suitable method for venous puncture and catheterization should be selected according to the features of PICC and SVP as well as the actual situations of patients in clinical application.