School of Nursing and Rehabilitation, Shandong University, Jinan, China.
Medical School, Liaocheng University, China.
Clin Nurs Res. 2024 Jan;33(1):19-26. doi: 10.1177/10547738231194099. Epub 2023 Aug 19.
This study sought to evaluate the impact of the subcutaneous tunneling technique on peripherally inserted central catheter (PICC) placement. We randomized 694 patients who needed PICC placement to either the tunneled PICCs (experimental group) or the non-tunneled PICCs (control group) from August to December 2021. The cumulative frequency of complications was assessed as the primary outcome. Secondary outcomes comprised of the amount of bleeding, catheter insertion time, self-reported pain score, and one-puncture success rate. After 6 months of follow-up, the tunneled PICCs group showed a significant decrease in the frequency of total complications, especially in infection (3.0% vs. 7.1%, = .021) and catheter-related thrombosis (3.3% vs. 8.3%, = .008), although approximately 0.5 ml bleeding and 3.5 min time were increased. This randomized multicenter study supports the efficacy of subcutaneous tunneling technology in reducing PICC-related complications, enhancing patient comfort, and encouraging using subcutaneous tunneling technology for PICC placement.
本研究旨在评估皮下隧道技术对经外周中心静脉置管（PICC）置管的影响。我们于 2021 年 8 月至 12 月将 694 例需要 PICC 置管的患者随机分为隧道式 PICC（实验组）和非隧道式 PICC（对照组）。并发症的累积频率被评估为主要结局。次要结局包括出血量、导管插入时间、自我报告疼痛评分和一次穿刺成功率。随访 6 个月后，隧道式 PICC 组的总并发症发生率显著降低，尤其是感染（3.0% vs. 7.1%，=0.021）和导管相关性血栓形成（3.3% vs. 8.3%，=0.008），尽管出血增加约 0.5ml，插入时间延长 3.5 分钟。这项随机多中心研究支持皮下隧道技术在降低 PICC 相关并发症、提高患者舒适度方面的有效性，并鼓励将皮下隧道技术用于 PICC 置管。
