B超不同角度引导两种穿刺技术对PICC,本文是一篇关于穿刺论文范文，可作为相关选题参考,和写作参考文献。
穿刺论文参考文献：
【摘 要】 目的 探討B超不同角度引导下配合两种穿刺技术对经外周静脉置入中心静脉导管（PICC）的临床研究.方法 135例穿刺置管患者作为研究对象, 将患者随机分为观察组（78例）和对照组（57例）.观察组采用B超引导下改良的Seldinger技术进行PICC穿刺置管, 对照组在普通彩超引导下采用常规穿刺法进行PICC穿刺置管.对比两组穿刺效果.结果 对照组患者皮下厚度>3 cm的患者PICC置管成功率为86.0%, 观察组患者皮下厚度>3 cm的患者PICC置管成功率为96.2%, 两组皮下厚度>3 cm的患者PICC置管成功率比较差异有统计学意义（P<0.05）.对照组患者皮下厚度<0.5 cm的患者PICC置管成功率为96.5%, 高于观察组的82.1%, 差异具有统计学意义（P<0.05）.两组患者穿刺处渗血、穿刺处渗液情况比较差异有统计学意义（P<0.05）.两组出现导管堵塞、静脉炎、感染情况比较差异无统计学意义（P>0.05）.结论 对于皮下厚度<0.5 cm的患者选用普通彩超下PICC置管；皮下厚度>3 cm尽量选择改良的Seldinger技术进行置管；普通彩超穿刺处渗血和渗液少, 患者耐受性好, 操作简单.
【关键词】 经外周静脉置入中心静脉导管；彩色多普勒超声；Seldinger技术
DOI：10.14163/j.cnki.11-5547/r.2017.26.013
【Abstract】 Objective To investigate the clinical study of two kinds of puncture techniques guided by B-mode ultrasound at different angles for peripherally inserted central catheter （PICC）. Methods A total of 135 puncture catheter patients as study subjects were randomly divided into observation group （78 cases） and control group （57 cases）. The observation group was treated with modified Seldinger technique guided by B ultrasound for PICC puncture catheter, and the control group was treated with routine puncture guided by ordinary color Doppler ultrasound for PICC puncture catheter. Puncture effect in two groups was compared. Results The control group had PICC catheterization success rate in patients with subcutaneous thickness > 3 cm as 86.0%, which was 96.2% in the observation group, and their difference was statistically significant （P<0.05）. The control group had higher PICC catheterization success rate in patients with subcutaneous thickness <0.5 cm as 96.5% than 82.1% in the observation group, and the difference was statistically significant （P<0.05）. Both groups had no statistically significant difference in errhysis at the puncture site and seepage at the puncture site （P<0.05）. Both groups had no statistically significant difference in occurrence of catheter obstruction, phlebitis and infection （P>0.05）. Conclusion For patients with subcutaneous thickness <0.5cm, ordinary color Doppler ultrasound should be used for PICC puncture catheter. Patients with subcutaneous thickness > 3 cm should select improved Seldinger technique for puncture catheter as far as possible. The routine color Doppler ultrasound has little errhysis and seepage at the puncture site. The patients are well tolerated, and the operation is simple.
【Key words】 Peripherally inserted central catheter； Color Doppler ultrasonography； Seldinger techniques
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