主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (7): 1117-1120.doi: 10.3969/j.issn.1672-1756.2020.07.032

• 专科管理 • 上一篇    

改良心电图专用转换夹在PICC置管中的应用

刘月 孙文彦 陈伟 李佳倩 刘兵   

  1. 北京协和医院临床营养科,100730
  • 出版日期:2020-07-15 发布日期:2020-07-15
  • 通讯作者: 孙文彦,本科,副主任护师,护士长,E-mail:s13910108189@126.com
  • 作者简介:刘月,本科,护师
  • 基金资助:
    国家自然科学基金(71974200)

Application of the improved ECG dedicated conversion clip in PICC catheterization

LIU Yue, SUN Wenyan, CHEN Wei, LI Jiaqian, LIU Bing   

  1. Department of Clinical Nutrition, Peking Union Medical College Hospital, Beijing, 100730, China
  • Online:2020-07-15 Published:2020-07-15
  • Contact: E-mail:s13910108189@126.com

摘要: 目的:分析改良心电图专用转换夹在PICC置管中辅助导管尖端定位的可行性及安全性。方法:采用前瞻性对照研究。实验组(n=551)使用无菌套膜包裹非无菌心电图专用转换夹引导腔内心电图,对照组(n=551)使用无菌心电图专用转换夹引导腔内心电图。比较两组导管相关性血流感染发生率、心电图波形稳定性、导管尖端位置的准确性。结果:两组均未发生导管相关性血流感染,心电图波形稳定性相近(P=0.376)、导管尖端位置准确性相近(P=0.367)。结论:应用改良心电图专用转换夹引导腔内心电图既保证了患者的安全,又使操作过程无菌和便捷。

关键词: 经外周置入中心静脉导管;心电图定位;无菌保护套;心电图专用转换夹

Abstract: Objective: To analyze the feasibility and safety of the improved ECG dedicated conversion clip in PICC tip positioning. Methods: Prospective control research was conducted. In the test group (n=551), the non-sterile ECG dedicated conversion clip was wrapped in a sterile sheath to guide the intracaval ECG. In the control group (n=551), the sterile ECG dedicated conversion clip was directly used to guide the intracaval ECG. The CRBSI, stability of the ECG complexes and accuracy of catheter tip position were compared. Results: CRBSI did not occur in either group. The stability of the electrocardiogram complexes (P=0.376) and accuracy of catheter tip position (P=0.367) were similar between the two groups. Conclusion: The using of improved ECG dedicated conversion clip to guide the intracaval ECG is a safe, aseptic and convenient way.

Key words: PICC; ECG positioning technology; sterile sheath; ECG dedicated conversion clip

中图分类号: 

  • R47