Comparison of two kinds of PICC catheterization methods in the hospitalized patients of the department of gastroenterology

Abstract

Objective To compare the application of common and ultrasound-guided peripherally inserted central venous catheters (PICC) catheterization methods in the hospitalized patients of the department of gastroenterology.Methods One hundred and six the hospitalized patients of the department of gastroenterology with PICC catheterization were divided into the common group (n =71) and the ultrasound-guided group (n =35).The success rate of puncture,the degree of comfort and the incidence rate of complication were compared between two groups.Results No differences were found in the success rate of first puncture (94.4％ vs 94.3％) and the total success rate of puncture (98.6％ vs 100％) between the common group and the ultrasound-guided group (x2 =0.03,0.50,respectively; P ＞ 0.05).The incidence of complication in the ultrasound-guided group (2/35,5.7％) was significantly lower than that of the common group (22/71,31.0％),and the difference was statistically significant (x2 =8.548,P ＜0.01).The degree of comfort in the ultrasound-guided group was significantly better than that of the common group in the tumor patients with chemotherapy,and no difference was found between the acute and chronic pancreatitis patients.Conclusions The success rate of ultrasound-guided PICC is higher than that of the common PICC,and the ultrasound-guided PICC can significantly reduce the incidence rate of comphcation,and improve the degree of comfort in tumor patients with PICC. Key words: PICC ; Ultrasound-guided; Complication ; Gastroenterology department