PICC导管在长期留置深静脉导管高龄老年患者中的应用效果

摘要

目的 观察peripherally inserted central catheter(PICC)导管在长期留置深静脉导管高龄老年患者中的应用效果及并发症.方法 收集80岁及以上需要长期留置深静脉导管的高龄患者132例.按穿刺途径不同分为两组:PICC导管组(n=72)和颈内静脉组(n=60 ).结果 PICC导管留置时间较颈内静咏组显著延长,分别为(146.84±100.46)d和(36.60±35.61)d,两组相比差异有统计学意义(P<0.01).PICC导管组导管相关性感染和滑脱分别为2例和1例.均较颈内静脉组(10例和9例)显著减少(均P<0.05).结论 高龄老人可应用PICC导管,留置时间长,安全性好,并发症少,值得临床上推广应用.%Objective To observe the intubation effects and complications of peripherally inserted central catheter (PICC) in elderly patients. Methods 132 patients with age ≥ 80-year-old underwent the long-term intravenous therapy. The patients were divided into two groups by different insertion methods: 72 patients in the PICC group and 60 patients in the internal jugular venous catheter group. Results Compared with internal jugular venous catheter group, PICC group had a longer time of intubation (146.84+100.46 days vs 36.60+35.61 days, .P<0.01), and a lower rate of catheter-related infection (2 vs 10, P<0.05) and a lower incidence of catheter slippage (1 vs 9, P<0.05). Conclusion PICC has longer time of intubation, higher safety and less complication, which is a recommendable technique in the elderly patients.