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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (20): 59-62.doi: 10.16460/j.issn1008-9969.2019.20.059

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Effect of Normal Saline Combined with Acuductor-free Ultrasound-guided Modified Seldinger Technique in PICC Placement

LI Lan1a, CAI Zhi-yun1a, PENG Jian2, LIN Yu-feng1a, HAN Qiu-ying1b   

  1. 1a. PICC Outpatient; 1b. Dept. of Nursing Administration, Zhongshan Hospital Affiliated to Xiamen University, Xiamen 361004, China;
    2. School of Nursing, Fudan University, Shanghai 200030, China
  • Received:2019-04-18 Online:2019-10-25 Published:2020-07-17

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Abstract: Objective To evaluate the effect of normal saline combined with acuductor-free ultrasound-guided modified Seldinger technique in PICC placement. Methods Between January 2016 and March 2018, a total of 2,538 hospitalized patients undergoing PICC placement were assigned to control group(n=1 268)and treatment group(n=1 270) randomly. The control group received traditional ultrasound-guided modified Seldinger technique in PICC placement, and the treatment group normal saline combined with acuductor-free ultrasound-guided modified Seldinger technique in PICC placement. The catheterization cost, success rate of first puncture and complication incidence in the two groups were compared. Results Catheterization cost of the treatment group was remarkably decreased when compared with that in the control group [￥1884vs.￥2023] and success rate of first puncture of the treatment group was significantly higher than that of the control group (P<0.05). There was no statistically significant difference between the control group and the treatment group in the incidence of complications such as arterial error, nerve injury and catheterization difficulty during PICC catheterization (P>0.05). Conclusion Normal saline combined with acuductor-free ultrasound-guided modified Seldinger technique is applicable in PICC placementas it can effectively improve the success rate of first puncture,reduce complication incidence during the catheterization and the total cost of catheterization.

Key words: normal saline, acuductor, PICC, modified Seldinger technique

CLC Number: 

  • R472
[1] 谌永毅,李旭英.血管通道护理技术[M].北京:人民卫生出版社,2015:90-226.
[2] Infusion Nurses Society.Infusion Therapy Standards of Practice[J].J Infus Nurs,2016,39(1s):39-95.DOI:10.1097/NHH.0000000000000481.
[3] 吴玉芬,杨巧芳.静脉输液治疗专科护士培训教材[M].北京:人民卫生出版社,2018:219-238.
[4] 东文霞,乔爱珍,李新华.PICC 插管与锁骨下静脉插管在血液病患者中的应用比较[J].中华护理杂志,2003,38(1):31-33.
[5] 蔡志云,李兰,韩秋英.超声引导下二次改良塞丁格PICC置管术在1-12月龄患儿中的应用[J].齐鲁护理杂志,2017,23(16):96-98. DOI:10.3969/j.issn.1006-7256.2017.16.048.
[6] 国务院. 国务院关于印发“十三五”卫生与健康规划的通知[EB/OL].[2019-01-15]. http://www.gov.cn/zhengce/content/2017-01/10/content_5158488.htm.
[7] 李兰,蔡志云,郑俊艺,等.超声引导下2次改良塞丁格技术在中线导管中的应用效果观察[J].护理学报, 2018,25(20):57-60. DOI:10.16460/j.issn.1008-9969.2018.20.00.
[8] 邹建中,胡顺铁,伍海翔.医用超声耦合剂的应用与研究进展[J].临床超声医学杂志,2010,12(5):329-331.
[9] 焦紫耀,吴海燕,刘中凯.生理盐水在TEE探头置入操作中应用的研究[J].山东医学高等专科学校学报,2017(1):32-34. DOI:10.3969/j.issn.1674-0947.2017.01.011.
[10] 倪春湘,殷海涛,周颖,等.不同深度血管PICC穿刺过程中导针器分离时机研究[J].护理研究,2017,31(12):1508-1510. DOI:10.3969/j.issn.1009-6493.2017.12.033.
[11] 朱雁,齐莉,盖垚.B超引导下PICC误入动脉的原因分析及护理对策[J].护理学报,2016,23(6):63-65. DOI:10.16460/j.issn.1008-9969.2016.06.063.
[12] 王雅萍,赵林芳,陈春华.上臂PICC置管致神经损伤42例的原因分析及对策[J].护理与康复,2015,14(7):665-667. DOI:10.3969/j.issn.1671-9875.2015.07.022.
[13] 陈淑德,黄敏清,崔虹,等.放松技术在56例PICC送管困难患者中的应用[J].护理学报,2015,22(8):62-63. DOI:10.16460/j.issn.1008-9969.2015.08.062.
[14] 徐海英,谷小燕,王兰.超声引导下改良塞丁格PICC送管时导丝替换的效果观察[J].护理学报,2015,22(8):56-58.DOI:10.16460/j.issn1008-9969.2015.08.056.
[15] 李佳,乔利,徐龙,等.正性心理暗示对患者PICC送管困难的预防作用[J].护理学杂志,2015, 30(2):50-51. DOI:10.3870/hlxzz. 2015.02.050.
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