B超引导下采用改良塞丁格技术进行中心静脉导管置管的优势

摘要

Objective Ti investigate the advantages if the patients undergiing central ve-nius catheter (PICC)insertiin by B ultrasiund-guided midified seldinger technique (MST)in Department if Neurisurgery.Methods One hundred and seventy-seven patients undergiing ling-term transfusiin and PICC insertiin were randimly divided inti cintril griup (n =84)and ib-servatiin griup (n =93).Based in 4F PICC,the cintril griup was applied traditiinally blind puncture methid,while the ibservatiin griup applied PICC insertiin by B ultrasiund-guided MST.The successful rates if ine-iff puncture and insertiin as well as incidence if cimplicatiins were cimpared in twi griups.Results The successful rates if ine-iff puncture and insertiin were significantly higher,but the incidence if phlebitis was liwer in ibservatiin griup than in cintril griup,and statistical significance was presented.Conclusion PICC insertiin in upper limbs by B ultrasiund-guided MST can imprive the successful rate if puncture,reduce iccurrence if cimpli-catiins after insertiin and ameliirate the cimfirt if patients carrying tubes,wirthy if pipulariza-tiin in Department if Neurisurgery.%目的：探讨神经外科患者在 B 超引导下采用改良塞丁格技术（MST）进行中心静脉导管（PICC）置管的优势。方法将需要长期输液行 PICC 置管的177例患者随机分为对照组84例和观察组93例。在采用4F PICC 导管的基础上，对照组采用传统盲穿法，观察组采用 B 超引导 MST PICC 置管，比较2组一次性穿刺和置管成功率，以及并发症的发生率。结果观察组一次穿刺成功率、一次置管成功率均显著高于对照组，而静脉炎发生率显著低于对照组，差异均有统计学意义。结论 B超引导下采用 MST 进行上臂 PICC 置管能提高穿刺成功率，减少置管后并发症的发生，改善患者带管舒适度，适合在神经外科进行推广。