Study on the effect of peripherally inserted central venous catheter in patients with pulmonary tuberculosis using ultrasound-guided modified Seldinger technique

doi:10.3969/j.issn.2095-3755.2020.01.015

Abstract

Abstract:

Objective To compare and analyze the application effect of ultrasound-guided modified Seldinger technique and blind puncture for the implementation of peripherally inserted central venous catheter (PICC) in patients with pulmonary tuberculosis (PTB). Methods A total of 150 patients with PTB underwent PICC in Kunming Third People’s Hospital from March 2016 to March 2018 were collected as research subjects, and then divided into two groups according to the mode of PICC catheterization. Concretely, 70 patients who received PICC catheterization by blind puncture were included in the control group, and 80 patients who underwent PICC catheterization with ultrasound-guided modified Seldinger technique were included in the observation group, and the effects of catheterization were compared between the two groups. Results The success rates of one-time puncture and catheterization in the observation group were 97.5% (78/80) and 100.0% (80/80), respectively, which were significantly higher than those in the control group (85.7% (60/70) and 92.9% (65/70), respectively), with the statistically significant differences (χ²=7.05 and 5.91, P=0.008 and 0.015, respectively). The incidence of complications after catheterization in the observation group was significantly lower than that in the control group (5.0% (4/80) vs. 21.4% (15/70)), with the statistically significant differences (χ²=9.11, P=0.003). Conclusion The effect of ultrasound-guided modified Seldinger technique on PICC catheterization in patients with PTB is better than that of blind puncture, and it has higher safety.

Key words: Tuberculosis, lung, Catheterization, central vein, Ultrasound, interventional, Intubation, Comparative study

ZHAO Yan-hong, MA Yun-hong, WU Guo-jing. Study on the effect of peripherally inserted central venous catheter in patients with pulmonary tuberculosis using ultrasound-guided modified Seldinger technique[J]. Journal of Tuberculosis and Lung Health , 2020, 9(1): 68-71. doi: 10.3969/j.issn.2095-3755.2020.01.015

Figures/Tables 2

References 13

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组别	例数	穿刺点渗血	机械性静脉炎	静脉血栓	皮下淤血	合计
观察组	80	1(1.2)	0(0.0)	1(1.2)	2(2.5)	4(5.0)
对照组	70	5(7.1)	2(2.9)	3(4.3)	5(7.1)	15(21.4)
χ²值		3.38	2.32	1.33	1.81	9.11
P值		0.070	0.130	0.250	0.180	0.000

组别	护理质量	护理技巧	护理态度	总分
观察组	93.58±2.36	94.82±2.54	96.67±2.39	95.64±2.28
对照组	81.47±5.59	81.05±4.87	82.28±5.19	81.33±5.31
t值	17.67	22.09	22.26	21.91
P值	0.000	0.000	0.000	0.000

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