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Open Access Article

International Journal of Internal Medicine. 2021; 2: (1) ; 1-4 ; DOI: 10.12208/j. ijim.20210001.

PICC catheter placement in infants and young children with electronic chest radiography scale measurement technology Application Research in Implantation Length
电子胸片标尺测量技术在婴幼儿置入PICC导管置入长度中的应用研究

作者: 马艳楠*, 汤婷婷, 周珊珊, 葛亚淑

东南大学附属中大医院 江苏南京

*通讯作者: 马艳楠,单位:东南大学附属中大医院 江苏南京;

发布时间: 2021-03-15 总浏览量: 42

摘要

目的 探讨电子胸片标尺测量技术在婴幼儿置入PICC导管置入长度中的效果观察。方法 选取2020年7月至2020年12月我科收治的80例行上肢PICC置管患儿,随机分为对照组(40例)和观察组(40例),对照组患儿PICC置管前采用常规横“L”法、观察组采用电子胸片标尺测量法测量置管长度,对两组患儿PICC导管尖端一次到位率、心律失常、导管相关性血流感染发生率进行比较。结果 观察组PICC导管尖端一次到位率高于对照组,心律失常、导管相关性血流感染发生率低于对照组(P<0.05)。结论 电子胸片标尺测量技术在婴幼儿置入PICC导管置入长度的应用中,可以提高导管尖端一次到位率和降低心律失常、导管相关性血流感染发生率,减轻患儿痛苦,提高家长满意度,减轻护士工作量,值得临床推广。

关键词: 电子标尺;婴幼儿;PICC;置入长度

Abstract

Objective To investigate the effect of electronic chest X-ray ruler measurement technology in the length of PICC catheter placement in infants and young children.
Methods A total of 80 children with upper limb PICC catheterization who were admitted to our department from July 2020 to December 2020 were selected and randomly divided into control group (40 cases) and observation group (40 cases). The conventional horizontal "L" method was used to measure the length of the catheter in the observation group, and the electronic chest X-ray ruler was used to measure the length of the catheter.
Results The rate of one-time placement of the PICC catheter tip in the observation group was higher than that in the control group, and the incidences of arrhythmia and catheter-related bloodstream infection were lower than those in the control group (P<0.05).
Conclusion   The electronic chest X-ray scale measurement technology in the application of PICC catheter insertion length in infants and young children can improve the first-time placement rate of the catheter tip, reduce the incidence of arrhythmia and catheter-related bloodstream infection, reduce the pain of children, and improve the satisfaction of parents It can reduce the workload of nurses and is worthy of clinical promotion.

Key words: Electronic ruler; Infants and young children; PICC; Insertion length

参考文献 References

[1] 高青,钱火红.PICC置管长度测量方法的改进[J].护理学杂志,2013,28(7):11-12.

[2] Nadine N.Challenges in the accurate identification of the ideal catheter tip location[J].JAVA,2010,15(4):196-202.

[3] 吴旭红.新生儿PICC并发症原因分析及护理干预的研究进展[J].中国护理管理,2017,17(2):166-171.

[4] 吴本清.新生儿危重症监护诊疗与护理[M].北京:人民卫生出版社,2009:349.

[5] Corski L,Hadaway L,Hagle ME ,et al.Infusion therapy standards of practice[J].Journal of Infusion Nursing,2016,39(Is):1-132.

[6] 余琪.婴幼儿PICC置管长度测量方法的改进[J].护理研究,2016,30(7):2559-2560.

[7] 杜萍,何佩仪,何美清,等.两种PICC体外测量法的比较研究[J].护理学杂志,2008,23(2):41-43.

[8] Camp-Sorrell M,Dawn C.Access Device Guidelines:Recommendations for Nursing Practice and Education[M].3rd ed.Pittsburgh,PA:Oncolgy Nursing Society,2011:30.

[9] 耿才正,陈姬雅,王健铭.上腔静脉X线投影测量与患者相关因素的探讨[J].医学影像学杂志,2012,22(5):768-770.

[10] 余琪,曾铁英,等.婴幼儿PICC左上肢置入体外测量法改进[J].护理学杂志,2017,32(6):47-49.

[11] 于士玉,吕红英,边艳玲,王彦超.PICC置管长度体外测量改良方法的临床效果探讨[J].护士进修杂志,2016,31(8):702-704.

引用本文

马艳楠, 汤婷婷, 周珊珊, 葛亚淑 电子胸片标尺测量技术在婴幼儿置入PICC导管置入长度中的应用研究[J]. 国际内科前沿杂志, 2021; 2: (1) : 1-4.