| Zhaoyan Liu. Appropriate posture of cancer patients treated with PICC to prevent internal jugular vein ectopic. Oncol Transl Med, 2014, 13: 432-434. |
| 肿瘤患者体位摆放预防PICC颈内静脉异位的研究 |
| Appropriate posture of cancer patients treated with PICC to prevent internal jugular vein ectopic |
| Received:June 17, 2014 Revised:September 01, 2014 |
| DOI：10.1007/s10330-014-1344-x |
| 中文关键词: PICC；颈内静脉异位；体位摆放 |
| 英文关键词: peripherally inserted central catheter (PICC); internal jugular vein heterotopia; body posture |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Zhaoyan Liu* | Oncology Department, Rizhao People’s Hospital, Rizhao 276826, China | joy.liu@126.com |
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| 中文摘要: |
| 目的研究肿瘤PICC置管时的合适体位，减少导管颈内静脉异位的发生。方法将2009年~2013年290例PICC置管肿瘤患者，分为两组。对照组取常规体位，即患者平卧，置管侧上肢外展90°，头偏向穿刺侧，以阻断颈内静脉。观察组在常规体位摆放的基础上进行改进，患者头部保持中立，与躯干纵轴呈180°角，不偏向任何一侧，确定上臂是外展、与躯干呈90°角后，匀速缓慢送管。以X线拍片结果判断比较两种方法的导管颈内静脉异位率。结果对照组导管颈内静脉异位发生率为12.8%，观察组为0.68%，两组比较，差异有显著意义(p<0.01）。结论体位改进的方法能避免患者的不适，有效降低PICC置管时颈内静脉异位的发生率。 |
| 英文摘要: |
| Objective: We aimed to study the appropriate posture of peripherally inserted central catheter (PICC) patients, to reduce the incidence of internal jugular vein heterotopia. Methods: From 2009 to 2013, a total of 290 cases with PICC were enrolled in our study. They were divided into two groups. The patients in control group took regular position, which mean pros-tration, upper limb of tube side was abduction 90°, head moved to puncture side in order to block the internal jugular vein. On the basis of conventional body position putting, posture of patients in observation group was improved, the head remain neu-tral, and had 180° angle with trunk longitudinal axis, not favor any side. After ensuring the upper limb abduction, had 90° angle with the trunk, then catheter was inserted slowly. The jugular venous catheter heterotopia rate was judged by X-ray results. Results: The jugular venous catheter heterotopia rate of control group and observation was 12.8% and 0.68%, respectively. The difference between two groups was statistically significant (P < 0.01). Conclusion: The body posture improvement can prevent discomfort of patients and reduce the jugular venous catheter heterotopia rate of PICC. |
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