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目的对比双腔耐高压PICC和股静脉置管在IV级心力衰竭患者中的应用效果。方法选取我院2016年1月—12月收治的端坐位IV级心力衰竭患者61例,按照便利抽样的方法将其随机分成研究组31例和对照组30例。研究组患者行耐高压PICC置管,对照组患者行双腔中心股静脉置管,观察2组患者的一次性置管成功率、导管头端位置、并发症发生率、留置导管天数和患者满意度等相关临床指标。结果研究组患者的一次插管成功率为93.55%(29例),高于对照组的83.33%(25例)(P<0.05);研究组患者的并发症发生率低于对照组(P<0.05)。结论对IV级心力衰竭患者在端坐位下予以耐高压PICC插管进行治疗,能提高一次置管成功率,降低并发症发生率,提高患者满意度,可作为患者抢救时的首选静脉通道。
Objective To compare the effect of dual-chamber, high-pressure PICC and femoral vein catheterization in patients with grade IV heart failure. Methods Sixty-one patients with grade IV heart failure in our hospital from January 2016 to December 2016 in our hospital were randomly divided into study group (31 cases) and control group (30 cases) according to the convenience sampling method. Patients in the study group underwent high-pressure PICC catheterization. Patients in the control group underwent double-lumen central femoral vein catheterization. The success rate of one-time catheterization, the position of the catheter tip, the incidence of complications, the number of indwelling catheter days, and patient satisfaction Degree and other related clinical indicators. Results The success rate of primary intubation in study group was 93.55% (29 cases), which was higher than that in control group (83.33%, 25 cases) (P <0.05). The complication rate in study group was lower than that in control group (P < 0.05). Conclusions The treatment of patients with grade IV heart failure under end-to-end high pressure PICC catheterization can improve the success rate of primary catheterization, reduce the incidence of complications and improve patient satisfaction, and can be used as the first choice of venous access during the rescue.