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中国科学引文数据库（CSCD）核心库期刊
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中国护理管理 ›› 2022, Vol. 22 ›› Issue (4): 485-489.doi: 10.3969/j.issn.1672-1756.2022.04.002

• 特别策划·静脉治疗管理 • 上一篇    下一篇

PICC尖端心腔内电图定位技术在高龄老年患者中的应用效果

刘文静 琚慧 张佳 王培 杨静 孙红   

  1. 北京医院保健医疗部 国家老年医学中心 中国医学科学院老年医学研究院，100730 北京市（刘文静，琚慧，张佳，杨静）；肿瘤病房（王培）；护理部（孙红）
  • 出版日期:2022-04-15 发布日期:2022-04-15
  • 通讯作者: 孙红，硕士，主任护师，副院长，E-mail:13911696069@163.com
  • 作者简介:刘文静，本科，主管护师，科护士长

Effects of the Intracardiac Electrocardiogram method for positioning the tip of Peripherally Inserted Central Catheter in senior elderly patients

LIU Wenjing, JU Hui, ZHANG Jia, WANG Pei, YANG Jing, SUN Hong   

  1. Healthcare Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China
  • Online:2022-04-15 Published:2022-04-15
  • Contact: E-mail:13911696069@163.com

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摘要： 目的：分析PICC尖端心腔内电图（Intracardic Electrocardiogram，IC-ECG）定位技术在高龄老年患者中的应用效果，为临床实施该项技术提供指导。方法：选择2018年1月—2022年2月就诊于我院老年病房、年龄≥75岁、住院期间留置PICC的216例高龄老年患者，收集其病历资料并进行回顾性分析。根据是否使用IC-ECG定位技术将其分为病例组（79例）与对照组（137例），比较两组患者置管成功率、血栓发生率、PICC导管相关血流感染发生率、导管移位发生率等指标。结果：病例组与对照组患者PICC置管成功率分别为96.2%、93.4%，差异无统计学意义（P>0.05）；病例组与对照组患者血栓发生率分别为0、5.1%，差异有统计学意义（P<0.05）。两组患者PICC导管相关血流感染发生率分别为2.5%、8.0%，导管移位发生率分别为10.1%、7.3%，差异均无统计学意义（P>0.05）。结论：高龄老年患者中应用IC-ECG技术与未应用此技术置管成功率无统计学差异，使用IC-ECG定位技术有利于降低血栓发生率，且不会增加导管移位、导管相关性血流感染等并发症发生率，适合在高龄老年患者中推广应用。

关键词: 高龄老年患者；心腔内电图；经外周静脉置入中心静脉导管；并发症；团体标准

Abstract: Objective: To explore the effectiveness of PICC Intracardiac Electrocardiogram technique for positioning the tip of PICC in the senior elderly patients. Methods: Retrospective study was performed. All the patients who was over 75 years old, in the geriatric department, with PICC between January 2018 to 2022 February were included. A total of 79 patients with IC-ECG were included in the study group, while 137 patients without IC-ECG were included in the control group. The accuracy of location of PICC, thrombus rate, infection rate and catheter displacement rate were analyzed. Results: The study group had significant low rate of thrombus than the control group (0 and 5.1% respectively). There were no significant differences of the accuracy of location of PICC, infection rate and catheter displacement rate between the two groups. Conclusion: IC-ECG can decrease the incidence of thrombus without increasing the other complications in the senior elderly patients with PICC. It can be used for positioning the tip of PICC in the senior elderly patients.

Key words: the senior elderly patients; Intracardiac Electrocardiogram; Peripherally Inserted Central Catheter; complication; association standard

中图分类号:  R47
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