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经外周静脉穿刺中心静脉置管(PICC)时静脉直径的测量:一项观察性研究。

Measurement of Vein Diameter for Peripherally Inserted Central Catheter (PICC) Insertion: An Observational Study.

作者信息

Sharp Rebecca, Cummings Melita, Childs Jessie, Fielder Andrea, Mikocka-Walus Antonina, Grech Carol, Esterman Adrian

机构信息

School of Nursing and Midwifery, University of South Australia, Adelaide, Australia (Ms Sharp, Ms Childs, Dr Fielder, and Prof. Grech); Royal Adelaide Hospital, Adelaide, Australia (Ms Cummings); School of Health Sciences, University of York, York, United Kingdom (Dr Mikocka-Walus); and Sansom Institute of Health Research, School of Nursing and Midwifery, University of South Australia, Adelaide, Australia (Prof. Esterman). Rebecca Sharp, BN, BHSc (Hons), is a lecturer in the School of Nursing and Midwifery at the University of South Australia in Adelaide, Australia. Melita Cummings, BN, is a clinical practice consultant, PICC Service, Royal Adelaide Hospital in Adelaide, Australia. Jessie Childs, BHSc, BHSc (Hons), GradDipSon, is a lecturer in health sciences (medical sonography) at the University of South Australia in Adelaide, Australia. Andrea Fielder, PhD, BSc, BSc (Hons), is a research fellow at the University of South Australia's School of Nursing and Midwifery in Adelaide, Australia. Antonina Mikocka-Walus, PhD, MA (Psych), is a senior lecturer at the University of York's School of Health Sciences in the United Kingdom. Carol Grech, PhD, MN, BN, is head of school at the University of South Australia's School of Nursing and Midwifery in Adelaide, Australia. Adrian Esterman, PhD, MSc, BSc (Hons), is a professor of biostatistics at the University of South Australia's Sansom Institute of Health Research and its School of Nursing and Midwifery in Adelaide, Australia.

出版信息

J Infus Nurs. 2015 Sep-Oct;38(5):351-7. doi: 10.1097/NAN.0000000000000125.

Abstract

Choosing an appropriately sized vein reduces the risk of venous thromboembolism associated with peripherally inserted central catheters. This observational study described the diameters of the brachial, basilic, and cephalic veins and determined the effect of patient factors on vein size. Ultrasound was used to measure the veins of 176 participants. Vein diameter was similar in both arms regardless of hand dominance and side. Patient factors-including greater age, height, and weight, as well as male gender-were associated with increased vein diameter. The basilic vein tended to have the largest diameter statistically. However, this was the case in only 55% of patients.

摘要

选择尺寸合适的静脉可降低与外周静脉置入中心静脉导管相关的静脉血栓栓塞风险。这项观察性研究描述了肱静脉、贵要静脉和头静脉的直径,并确定了患者因素对静脉大小的影响。使用超声测量了176名参与者的静脉。无论优势手和侧别如何,双臂的静脉直径相似。患者因素,包括年龄较大、身高较高、体重较重以及男性性别,均与静脉直径增加有关。统计学上,贵要静脉的直径往往最大。然而,仅55%的患者是这种情况。

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