Abstract:Objective: To explore the application value of chest radiography combined with body surface measurement in the measurement of central venous catheter (PICC) length in tumor patients. Methods: 60 cases of tumor patients requiring PICC catheter were selected from the oncology department of haian people's hospital of jiangsu province from May 2017 to April 2018, and were divided into the experimental group and the control group in 30 cases according to the random number table method. In the experimental group, the length of the PICC catheter was calculated by chest radiography combined with body surface measurement. In the control group, the length of the PICC catheter was calculated by body surface measurement formula alone. The accuracy rate of catheterization, length adjustment rate, incidence of ectopic catheter tip, incidence of postoperative complications and satisfaction of catheterization were compared between the two groups. Results: The accuracy rate of catheterization in the experimental group was 100% (30/30) higher than 86.7% (26/30) of the control group, P<0.05. The adjustment rate of catheter length and ectopic incidence of catheter tip in the experimental group were 6.7%(2/30) and 3.3% (1/30), respectively, lower than 30% (9/30) and 20% (6/30) of the control group, P<0.05. The complication rate of patients in the experimental group was 6.7% (2/30) lower than that of the control group (26.7% (8/30),P<0.05. Patients' satisfaction with catheterization in the experimental group was 96.7% (29/30) higher than that in the control group (24/30), P<0.05. Conclusion: Before the implantation of PICC in tumor patients, the application of chest radiography combined with body surface measurement can effectively improve the accuracy rate of catheterization, reduce the incidence of complications after catheterization in patients, and improve the satisfaction of patients, which is worthy of clinical application.
[1] 张玉蓉.超声引导下应用Seldinger技术行PICC置管的效果评价[J].临床心血管病杂志,2016,32(12):1195~1197. [2] 孙应绮,王悍.肝癌介入治疗及综合影像学对肝癌疗效评估的新进展[J].医学综述,2016,22(6):1110~1113. [3] Lee JTL, Ricketts J.Displacement of a power-injectable PICC following computed tomography pulmonary angiogram[J].Radiol Case Rep, 2017,12(4):690~692. [4] Bertani L, Carone M, Caricati L, et al. Using the theory of planned behavior to explore hospital-based nurses' intention to use peripherally inserted central catheter (PICC): a survey study[J].Acta Biomed,2016,87(4):23~29. [5] 杨敬平,史星菲.体表测量确定PICC置管预置长度与体内理想位置的关系研究[J].蚌埠医学院学报[J].2018,43(7):945~946. [6] 贲宗西.健康宣教对肿瘤患者PICC导管并发症的影响分析[J].当代临床医刊,2017,30(6):3579~3580. [7] 赵爽爽,赵瑜,李莉,等.PICC对化疗患者血浆D-二聚体水平的影响[J].肿瘤防治研究,2017,44(2):124~128. [8] Nussli S, Schnyder F, Zenhausern R, et al. Improving patient safety with a mobile application for patients with peripherally inserted central venous catheters (PICC)[J].Stud Health Technol Inform,2016,33(25):225~253. [9] Liu B, Sun W, Wang K. A successful insertion of PICC in patient with cardiac angiosarcoma and neoplasty of right atrium and pacemaker: a case report[J].Medicine(Baltimore),2017,96(51):e9225. [10] 于士玉,吕红英,边艳玲,等.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. [11] 李大胜,张媛,王娜娜,等.PACS翻转窗宽窗位床旁胸片在PICC末端定位中价值的研究[J].中国医疗设备,2017,32(12):80~82. [12] 毛世方,赵丽红,殷荣华.胸片及体表测量公式联合在肿瘤患者中心静脉导管置管长度测量中的应用研究[J].川北医学院学报,2018,33(4):583~585. [13] 徐志宾,陈殿森,高万勤.经外周静脉穿刺中心静脉置管术后胸片上导管头端定位点的选择应用[J].中国中西医结合影像学杂志,2016,14(6):660~662.