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陈莹.心电图定位法在PICC置管中的应用: 随机对照研究[J].上海护理,2018,18(5):
心电图定位法在PICC置管中的应用: 随机对照研究
Application of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement in patients: A randomized controlled study.
DOI：
中文关键词:  经外周置入中心静脉导管  心电描技术  护理
英文关键词:Peripherally Inserted Central Catheters  Electrocardiography  Nursing Care
基金项目:
作者单位E-mail
陈莹* 上海市第四人民医院 syfyhlb@sina.com 
摘要点击次数: 2009
全文下载次数: 0
中文摘要:
      
英文摘要:
      Objective To compare the PICC cannulation success rate and safety of two mathods by intracavitary electrocardiogram (IC ECG) guidance and conventional anatomical landmarks (CAL) in patients prospectively and randomly. Methods Patients who satisfied the inclusion criteria for PICC in our hospital were randomized to the IC ECG and CAL groups and their PICC placement were operated with IC ECG or CAL methods respectively. The post-procedural confirmation of catheter tip was determined by orthophoria chest radiograph (OCR). Intubation success rate and safety were primary measures. Results A total of 152 patients were randomized to the IC ECG (n =76) and CAL (n =76) groups respectively. The overall cannulation success rate of IC ECG was superior significantly than CAL（98.7% vs. 82%，P <0.01）. OCR showed that all tips of PICCs guided with IC ECG were located in the optimal position. Regarding the cannulated veins and sites of catheters, and mean procedure time, there were no difference between two groups (P >0.05). There were no adverse events related to the catheter cannulating. Conclusions PICC　guided with IC ECG is simple ,safe and reliable. When catheter cannulation was completed with guidance of IC ECG, the post-procedural OCR is unnecessary.
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