皮下隧道法预防PICC置管后穿刺点出血的效果观察

摘要

目的 比较2种不同的穿刺方法对预防经外周静脉穿刺中心静脉置管(PICC)后穿刺点出血的效果.方法 将65例不同病种行PICC置管患者分为常规对照组(35例)和观察组(30例),常规对照组按常规方法由静脉上方穿刺直入血管行PICC,观察组则在血管下方2～3 cm进针,不直接刺人血管,先皮下潜行2～2.5 cm后刺入血管,再将导管插入行PICC.结果 观察组出血发生率显著低于常规对照组(P＜0.05).结论 改进PICC穿刺方法后,可减少PICC穿刺点出血的发生.%Objective To compare the preventive effects of puncture point bleeding after peripherally inserted central catheter (PICC) by two different puncture methods. Methods Sixty -five PICC patients with different diseases were divided into conventional control group (n = 35 ) and observation group ( n = 30). The conventional group received the traditional method to take PICC,which was punctured into the vessel from superior direction of vein. The observation group first took a 2 to 2. 5 cm subcutaneous sneak,then punctured into from position of 2 to 2. 5 cm below the posterior direction of vessel,and finally completed PICC catheterization. Results Incidence rate of bleeding in the observation group was obviously lower than that in the conventional control group (P<0.05). Conclusion Improvement of PICC puncture method can reduce the incidence of the bleeding of the PICC puncture points.