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

[1]	Abusedera M, Alkady O . Ultrasound-guided pleural effusion drainage with a small catheter using the single-step trocar or modified Seldinger technique. J Bronchology Interv Pulmonol, 2016,23(2):138-145.
[2]	朱晓麟, 谢敬, 孙书杰 , 等. 超声引导与传统盲穿置入PICC导管的疗效探讨. 哈尔滨医科大学学报, 2014,29(5):431-432.
[3]	张云, 吴志娟, 徐文藻 . 超声引导下使用改良Seldinger技术置入PICC导管的临床观察. 实用临床医药杂志, 2014,18(14):45-46.
[4]	翟怀香, 付小伟 . 血管超声联合改良塞丁格技术与盲穿置入PICC应用于高龄AD患者的效果比较. 实用临床医药杂志, 2014,18(8):23-25.
[5]	杨静, 宋迪, 徐令婕 . 2种PICC穿刺法致机械性静脉炎的对比分析. 中华全科医学, 2014,12(4):635-637.
[6]	Moslim MA, Falk GA, Seifarth FG . Novel modified Seldinger technique for gastrojejunal feeding tube placement. JSLS, 2018,22(1):e2017.00091.
[7]	陈丽琴 . 使用彩超结合改良赛丁格技术引导PICC的临床应用. 四川医学, 2014,28(9):1229-1232.
[8]	林瑞端, 郭琛, 梁芳 . B超引导下采用改良塞丁格技术进行中心静脉导管置管的优势. 实用临床医药杂志, 2014,18(6):4-6.
[9]	汪丹, 张晓玲, 陈美玲 , 等. 超声引导下行外周静脉置入中心静脉导管的穿刺方法研究. 中国临床保健杂志, 2015,23(2):213-214.
[10]	马山, 任伟, 王莉 , 等. 肺动脉血栓栓塞26例临床诊断与介入治疗. 中国临床研究, 2013,26(2):110-112.
[11]	Pardo MA, Divers S . Jugular central venous catheter placement through a modified Seldinger technique for long-term venous access in chelonians. J Zoo Wildl Med, 2016,47(1):286-290.
[12]	魏雪, 刘宝芝, 连宝营 . 超声引导下PICC置管与传统盲穿法置管的临床对照研究. 中国医药导刊, 2015,17(9):968.
[13]	王璇 . 超声引导下改良Seldinger技术行PICC置管与传统穿刺置管应用效果比较. 中国医药导报, 2014,36(25):50-53.

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

[1]	Liu Xin, Wu Qianhong, Chen Qiliang, Guo Le. Analysis of thoracic collapse deformity secondary to stage Ⅲ tuberculous empyema and its related influencing factors [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(4): 283-288.
[2]	Yao Xiaowei, Liu Shuren, Jing Yanse, Jia Chenguang. Evaluation of next generation sequencing for the diagnosis of osteoarticular tuberculosis infection [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(1): 37-43.
[3]	Liu Lei, Cui Cancan, Li Mingwu, Wan Rong, Liu Yingnan. CT image analysis of patients with pulmonary tuberculosis complicated with pulmonary embolism [J]. Journal of Tuberculosis and Lung Disease, 2023, 4(6): 486-492.
[4]	Liu Liqin, Ming Hui, Xu Zuhui. Study on the influence of COVID-19 epidemic on the work of tuberculosis prevention and control institutions in Hunan Province [J]. Journal of Tuberculosis and Lung Disease, 2023, 4(3): 229-234.
[5]	Shi Haiping, Wu Qianhong. The diagnostic value of different thresholds for T cell spot test with peritoneal effusion tuberculosis in tuberculous peritonitis [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(6): 501-505.
[6]	Liu Xin, Guo Le, Li Junxiao, Chen Qiliang, Wu Qianhong. Analysis of the effect of stage I operation for different types of abdominal tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(5): 371-376.
[7]	Lin Jing, Li Lan, Liu Ying. Effects of behavioral intervention on negative emotions and coping styles of NTM patients with pulmonary disease under the guidance of Snyder’s Hope theory [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(4): 287-291.
[8]	Li Yishuai, Qin Xuebo, Li Xianglan, Wei Lan, Duan Xiaoliang, Zhang Lei, Chen Liang, Li Jianhang. Analysis of effect of video-assisted thoracoscopic surgery versus thoracotomy in the treatment of refractory cavity pulmonary tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(4): 292-295.
[9]	GUO Hua-zheng, XING Zhen-chuan. Analysis of characteristics, diagnosis and referral of pulmonary tuberculosis in respiratory wards of a general hospital in Beijing [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(2): 110-117.
[10]	XU Jing, LUO Ping, HE Xiao-xin. Analysis of characteristics and diagnosis delay of 629 elderly tuberculosis patients [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(3): 216-222.
[11]	YAN Jin-yu, ZOU Tao, GUO Jian, XU Yong, TANG Pei-jun, FENG Yan-jun. Analysis of clinical features of Mycobacterium intracellulare pulmonary disease and Mycobacterium kansas pulmonary disease [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(3): 294-297.
[12]	ZHOU Bi-xia, YUAN Gong-ling, ZENG Ling-wu, ZHU Yi, CHENG Xi, LI Min, WU Mei-ying. Comparative analysis of CT signs of Mycobacterium kansasii pulmonary disease and pulmonary tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(2): 125-130.
[13]	WANG Ya-qian. The application of video microclass combined with teach-back health education model in the prevention of disability progression in patients with chronic obstructive pulmonary disease [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(2): 139-143.
[14]	WANG Zhi-hui, DONG Ya-kun, CHI Yue-peng, DI Hong-qin, LIANG Ya-chong, XIE Lan-pin. Evaluation of the application value of fluorescence PCR probe melting curve method in detecting drug resistance in elderly pulmonary tuberculosis patients [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(1): 18-22.
[15]	LIU Bo-fei, WANG Fang, LIU Bo-xia, MA Yu-jie, FENG Tao, XU Lin, ZHAO Gui-xia, HONG Yuan, LIU Guang-tian, ZHOU Pan, CAO Xiang-yuan. Analysis of characteristics of chest CT imaging and immune indexes in 84 COVID-19 patients [J]. Journal of Tuberculosis and Lung Disease, 2020, 1(3): 220-225.