Clinical application of intracavitary electrocardiogram in positioning of PICC catheter tip through inferior vena cava

Q4 Nursing 中华临床营养杂志 Pub Date : 2019-12-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.06.009

Chen Ping, Wu Guimei, Hao Yun

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Abstract

Objective To explore the clinical application of intracavitary electrocardiogram in positioning of PICC catheter tip through inferior vena cava and summarize the change rule of electrocardiographic wave during the PICC process. Methods 60 patients who couldn′t receive PICC through precava were recruited from a tertiary hospital and assigned into the intervention group and the control group randomly. Patients in the control group received PICC through inferior vena cava and X-ray was used to confirm the positioning of PICC catheter tip. Patients in the intervention group were checked by intracavitary electrocardiogram. Success rates were compared and the change rule of electrocardiographic wave during the PICC process was summarized. Results The success rate was 100% in the intervention group and 86.7% in the control group. All patients in the intervention group showed the typical change of intracavitary electrocardiogram. Conclusions Intracavitary electrocardiogram can promote success rate of PICC through inferior vena cava and reduce the side effect. It is of great value to generalize intracavitary electrocardiogram in clinical application. Key words: Intracavitary electrocardiogram; PICC through inferior vena cava; Positioning of PICC catheter tip

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腔内心电图在经下腔静脉定位PICC导管尖端的临床应用

目的探讨腔内心电图在经下腔静脉定位PICC导管尖端的临床应用，总结PICC过程中心电图的变化规律。方法选取某三级医院不能经前路行PICC的患者60例，随机分为干预组和对照组。对照组患者经下腔静脉行PICC, x线确认PICC导管尖端位置。干预组患者行腔内心电图检查。比较了PICC的成功率，总结了PICC过程中心电图的变化规律。结果干预组手术成功率为100%，对照组为86.7%。干预组患者均出现典型的腔内心电图改变。结论腔内心电图可提高经下腔静脉行PICC的成功率，减少不良反应。推广腔内心电图在临床应用中具有重要价值。关键词:腔内心电图;PICC经下腔静脉;PICC导管尖端定位

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.