超声引导下 PICC 置管在血液肿瘤血小板减少患者中的应用

摘要

Objective:To stuly the effect of modified saidingge Puncture in vascular PICC guilded by Site - rite V ultrasound on hematolagic tumor Patients with low Platelet counts. Methods:All 72 hematolagic tumor Patients with low Platelet counts were randomly divided into two grouPs,35 cases in exPerimental grouP(modified saidingge Punc-ture in tough vascular PICC on Site - rite V ultrasound - guild)and 37 cases in control grouP(blind Puncture). Com-Pared the success rate and comPlication rate between the two grouPs. Resulets:The success rate and comPlication rate in exPerimental grouP were 97. 14% and 14. 29% ;The success rate and comPlication rate in control grouP were 78. 38% and 48. 65%(P ﹤ 0. 05). Conclusion:Modified saidingge Puncture in tough vascular PICC guilded by Site- rite V ultrasound can increase Puncture sucess rate and decrease comPlication rate in hematolagic tumor Patients with low Platelet counts. It can also imProve the Patient's aPProval on nurse's work.%目的：探讨视锐5TM超声引导下改良塞丁格穿刺法应用于血液肿瘤血小板减少患者 PICC 置管的应用效果。方法：选择血液肿瘤血小板减少的72例患者为研究对象，随机分为试验组（采用视锐5TM 超声引导下改良塞丁格穿刺法）35例，对照组（采用盲穿法）37例，比较两组患者置管成功率、并发症等。结果：试验组患者穿刺成功率97.14%，并发症发生率14.29%；对照组患者穿刺成功率78.38%，并发症发生率48.65%，两组比较差异有统计学意义（P ﹤0.05）。结论：视锐5TM超声引导下改良塞丁格穿刺法应用于血液肿瘤血小板减少患者，可提高穿刺成功率、减少并发症的发生，提高患者对护士的认可度。