Application of double lumen power PICC in patients with severe respiratory disease

Fan Liping; Liu Yucun

doi:10.13406/j.cnki.cyxb.001138

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Application of double lumen power PICC in patients with severe respiratory disease

更新时间：2024-01-17

- Application of double lumen power PICC in patients with severe respiratory disease
- Journal of Chongqing Medical University Vol. 42, Issue 1, Pages: 54-57(2017)
- 作者机构：
  
  重庆医科大学附属第一医院呼吸内科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001138
  CLC： R473.5
- Published：2017，
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[1]樊丽平,刘雨村.双腔Power PICC导管在呼吸危重症患者中的应用研究[J].重庆医科大学学报,2017,42(01):54-57.

Fan Liping, Liu Yucun. Application of double lumen power PICC in patients with severe respiratory disease. [J]. Journal of Chongqing Medical University 42(1):54-57(2017)
[1]樊丽平,刘雨村.双腔Power PICC导管在呼吸危重症患者中的应用研究[J].重庆医科大学学报,2017,42(01):54-57. DOI： 10.13406/j.cnki.cyxb.001138.

Fan Liping, Liu Yucun. Application of double lumen power PICC in patients with severe respiratory disease. [J]. Journal of Chongqing Medical University 42(1):54-57(2017) DOI： 10.13406/j.cnki.cyxb.001138.

摘要

目的:前瞻性评估双腔耐高压注射型经外周置入中心静脉导管（power peripherally inserted central catheter

Power PICC）临床应用于呼吸危重症患者的可行性。方法:选取2014年1月至2015年12月在重庆医科大学附属第一医院呼吸内科重症监护室（intensive care unit

ICU）进行经外周置入中心静脉导管（peripherally inserted central catheter

PICC）置管的患者187例作为研究对象

其中行双腔Power PICC置管患者100例

行三向瓣膜导管置管患者87例

前瞻性分析两组患者在一般资料、导管留置时间、住院时间、住院费用、患者满意度、护理工作量及导管相关并发症发生率方面的差异性。结果:2组患者在一般资料、导管留置时间、住院时间及住院费用方面无统计学差异;导管并发症方面:双腔Power PICC组导管断裂的发生率低于三向瓣膜导管

而堵管率及静脉血栓发生率略高于三向瓣膜PICC组

2组间差异无统计学意义;但双腔Power PICC导管可减轻患者反复穿刺的痛苦

故患者满意度高于三向瓣膜导管

两组间差异有显著统计学意义;由于三向瓣膜PICC组需要再次穿刺外周血管

导致输液相关并发症的发生率增高

故护理工作量高于双腔Power PICC组。结论:双腔Power PICC导管能满足呼吸危重症患者多通道连续给药、持续血流动力学监测、胃肠外营养、加强电子计算机断层扫描（computed tomography

CT）造影以及血标本的采集

尤其对于凝血功能障碍的患者具有突出的优势

值得在危重症患者中推广使用。

Abstract

Objective:To prospectively evaluate the feasibility of clinical application of dual chamber high pressure injection type PICC power(central venous catheter)in respiratory and critical patients. Methods:Totally 187 patients in ICU of the department of respiratory medicine of the First Affiliated Hospital of Chongqing Medical University for PICC catheterization from 2014 January to December 2015 were taken as the research object including 100 cases using double channel power of PICC catheter and 87 cases using three directional valve catheter. The general information

catheter indwelling time

time of hospitalization

cost of hospitalization

the patient satisfaction and catheter related complications occurred rate of the two groups were prospectively analyzed. Results:There was no significant difference in the general information

catheter indwelling time

length of hospital stay and hospital costs between the two groups. Pipe blocking rate was lower in double channel power PICC catheter group than in three directional valve catheter group;incidence of venous thrombosis was higher in double channel power PICC catheter group than in three directional valve catheter group

but without significant differences. But the double channel power PICC catheter can reduce the pain of patients with repeated puncture

so the patient satisfaction was in double channel power PICC catheter group than in three directional valve catheter group with statisti-cal significance. As the three directional valve catheter group need to puncture the peripheral blood vessels

resulting in increased incidence of transfusion related complications

the nursing workload was heavier than that of double channel power PICC catheter group.Conclusion:Double channel power peripherally inserted central catheter can provide patients with continuous multi-channel administration

continuous hemodynamic monitoring

parenteral nutrition

strengthen the collection of CT angiography and blood samples. It has outstanding advantages

especially for patients with coagulation disorders. It is worth popularization and use in critically ill patients.

关键词

经外周置入中心静脉导管呼吸危重症并发症满意度

Keywords

peripherally inserted central cathetercritical respiratory diseasecomplicationsatisfaction degree

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