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| Application effect of PICC tube placement in ZIM area under ultrasound guidance in two positions |
| WANG Mengmeng, LI Ping, JIA Lingzhi* |
| Binzhou Medical University Hospital, Binzhou 256603, Shandong, P.R.China |
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Abstract Objective To explore the application effects of PICC catheterization in the ZIM area under ultrasound guidance in two positions, and to seek the best position suitable for puncture in the ZIM area.Methods From June 2018 to November 2019, 80 patients with PICC intubation diagnosed with hematological diseases were randomly divided into the control group and the observation group according to the hospitalization number. All patients underwent the ZIM best area method as the best puncture point. In the control group, the conventional catheterization of the lateral extremity and the trunk at 90 degrees were used for puncture. When the catheter reached the shoulder, the patient's head was instructed to turn to the puncture side, and the lower jaw was close to the shoulder. The observation group used the position of the catheterized limb to lift the arm and hold the head for puncture. When the catheter reached the shoulder, the catheter was sent to the required length without turning the head. The comfort, internal jugular vein ectopic, and success rate of the catheter were compared between the two groups.Results When the PICC was placed by PICC under the guidance of ultrasound, the pain score in the control group (8.425±0.808) was significantly higher than that in the observation group (7.825±1.111), and the position discomfort score (7.288±0.996) in the control group was significantly higher. In the observation group (4.2±1.072), the difference was statistically significant (P<0.05). The incidence of internal jugular vein ectopic was 2.50% (2/80) , significantly lower than thta in the control 12.5% (10/80). The difference was statistically significant, with P<0.05. The success rate of one-time puncture and catheterization was 90% in the control group and 87.5% in the observation group, and the difference was not statistically significant.Conclusion Raising the arm and holding the head is the ideal puncture position for PICC catheterization in the ZIM area under ultrasound guidance.
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Received: 26 April 2020
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