外周静脉穿刺中心静脉置管的缝线固定法在儿科患者中产生的并发症较少。
Sutured securement of peripherally inserted central catheters yields fewer complications in pediatric patients.
作者信息
Graf Jeanine M, Newman Christopher D, McPherson Mona L
机构信息
Department of Pediatrics, Baylor College of Medicine, Section of Intensive Care, Texas Children's Hospital, Houston, Texas 77030, USA.
出版信息
JPEN J Parenter Enteral Nutr. 2006 Nov-Dec;30(6):532-5. doi: 10.1177/0148607106030006532.
BACKGROUND
Pediatric peripherally inserted central catheters (PICCs) can be secured with tape, sutures, or sutureless securement devices. Despite widespread catheter use, no standardized method of securement has been proven superior.
METHODS
A prospective randomized trial of catheter securement with either tape or suture was undertaken in pediatric patients hospitalized at a tertiary children's hospital. Patient demographics, catheter dwell time, and all catheter complications were collected. All patients were followed for the entire dwell time of the catheter, including those discharged with lines still in place.
RESULTS
Sixty-six patients completed the study, with 34 children in the suture group and 32 children in the tape group. Patients' ages ranged from 9 months to 19 years. Overall complication rate in our sutured group was 5.8%, and 32.4% in the tape group.
CONCLUSIONS
In this study of children of varying ages, sutured PICCs were associated with significantly fewer complications than those catheters secured with tape (p=.005). The 3 most common complications included migration, occlusion, and leaking catheters.
背景
儿科经外周静脉穿刺中心静脉导管（PICC）可用胶带、缝线或免缝固定装置进行固定。尽管导管使用广泛，但尚未证明哪种标准化固定方法更具优势。
方法
在一家三级儿童医院住院的儿科患者中进行了一项关于用胶带或缝线固定导管的前瞻性随机试验。收集了患者的人口统计学数据、导管留置时间和所有导管相关并发症。所有患者在导管的整个留置期间均接受随访，包括那些出院时导管仍在位的患者。
结果
66名患者完成了研究，缝线组有34名儿童，胶带组有32名儿童。患者年龄从9个月到19岁不等。我们的缝线组总体并发症发生率为5.8%，胶带组为32.4%。
结论
在这项针对不同年龄段儿童的研究中，缝线固定的PICC与用胶带固定的导管相比，并发症明显更少（p = 0.005）。3种最常见的并发症包括移位、堵塞和导管渗漏。
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