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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (23): 75-78.doi: 10.16460/j.issn1008-9969.2022.23.075

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Application Effect of Intracavitary 3CG Localization Technique in Tip Location of Arm Infusion Port in Tumor Patients

DONG Lei, ZHANG Ying, GUAN Chen-yang, GUO Chen, ZHANG Ming-zhi   

  1. Dept. of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2022-08-20 Online:2022-12-10 Published:2023-01-13

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Abstract: Objective To investigate the application effect of intracavitary 3CG localization technique in the tip location of arm infusion port in tumor patients. Methods From June 25, 2021 to October 31, 2021, 97 tumor patients were selected from the oncology department of the First Affiliated Hospital of Zhengzhou University. According to the random number method, the patients were divided into observation group (n=49) and control group (n=48). Catheter tip was located by intracavitary ECG and intracavitary 3CG were used respectively for catheter tip in the control group and in the observation group. The stable electrocardiogram extraction rate, characteristic P wave occurrence rate, primary catheter ectopic rate, optimal catheter tip indwelling rate and catheter tip positioning time were compared between the two groups. Results There was no difference in stable electrocardiogram extraction rate, characteristic P wave occurrence rate and primary catheter ectopic rate between the two groups（P>0.05）. The indwelling rate of catheter tip in the observation group (98%) was higher than that in the control group (88%) (P<0.05). The positioning time of catheter tip in the observation group 34.78±4.16 s was shorter than that in the control group 49.24±6.95 s (P<0.05). Conclusion Intracavity 3CG positioning technique is effective for the positioning of the tip of arm infusion port in tumor patients, and it improves the indwelling rate of the best position of catheter tip, shortens the positioning time of catheter tip. It is worth to be popularized in clinical practice.

Key words: 3CG, ECG, arm port, tip positioning

CLC Number: 

  • R472
[1] 徐绍莲,臧谋红,唐瑭,等.肿瘤化疗患者植入式静脉输液港与PICC并发症发生情况Meta分析[J]. 护理学报, 2020, 27(3):37-42. DOI:10.16460/j.issn1008-9969.2020.03.037.
[2] Wang YC, Lin PL, Chou WH, et al.Long-term Outcomes of Totally Implantable Venous Access Devices[J].Support Care Cancer, 2017, 25(7):2049-2054.DOI:10.1007/s00520-017-3592-0.
[3] Kehagias E, Tsetis D.The "Arm-to-Chest Tunneling" Technique: A Modified Technique for Arm Placement of Implantable Ports or Central Catheters[J].J Vasc Access, 2019, 20(6):771-777.DOI:10.1177/1129729819826039.
[4] 徐海萍,周琴,韩伟,等.手臂输液港与胸壁输液港常见并发症发生率比较的Meta分析[J].中华护理杂志,2018,53(3):352-358.DOI:10.3761/j.issn.0254-1769.2018.03.022.
[5] Pinelli F,Cecero E, Degl'Innocenti D,et al.Infection of Totally Implantable Venous Access Devices: A Review of the Literature[J]. J Vasc Access, 2018, 19(3):230-242.DOI:10.1177/1129729818758999.
[6] 魏海玲,朱莲玉,李育军,等.腔内心电图术中定位结合体外测量法确定手臂式输液港导管尖端位置的临床研究[J].护士进修志,2019, 34(9):849-851.DOI:10.16821/j.cnki.hsjx.2019.09.025.
[7] 徐海萍,汪静雯,丁晓慧,等.心电图引导手臂输液港静脉导管头端精准定位111例实证研究[J].中华肿瘤防治杂志,2019,26(23):64-68.DOI:10.16073/j.cnki.cjcpt2019.23.10.
[8] Liu G, Hou W, Zhou C, et al.Meta-analysis of Intracavitary Electrocardiogram Guidance for Peripherally Inserted Central Catheter Placement[J]. J Vasc Access, 2019,20(6):577-582.DOI:10.1177/1129729819826028.
[9] Dale M,Higgins A,Carolan-Rees G.Sherlock 3CG Tip Confirmation System for Placement of Peripherally Inserted Central Catheters: A NICE Medical Technology Guidance[J]. Appl Health Econ Health Policy, 2016, 14(1):41-49.DOI:10.1007/s40258-015-0192-3.
[10] Yamagishi T,Ashida H,Igarashi T,et al.Clinical Impact of the Sherlock 3CG VR Tip Confirmation System for Peripherally Inserted Central Catheters[J]. J Inter Med Research, 2018, 46(12):1-7.DOI:10.1177/0300060518793802.
[11] 胡丽娟,崔璀,吴钢,等.不同方式腔内心电图定位技术在经上臂静脉植入输液港中的应用研究[J]. 中华护理杂志,2019, 54(3):443-446.DOI:10.3761/j.issn.0254-1769.2019.03.023.
[12] 中华护理学会. T/CNAS 11-2020 PICC尖端心腔内电图定位技术[EB/OL].(2021-02-01)[2022-02-01].http://www.cna-cast.org.cn/cnaWebcn/upFilesCenter/upload/file/20210209/1612868653038041336.pdf.
[13] 周青,江智霞,代永娅,等.特征性P波在腔内心电图引导PICC尖端定位中的应用研究进展[J].护理研究,2020,34(4):641-646.DOI:10.12102/j.issn.1009-6493.2020.04.015.
[14] 刘胤佃,何金爱,宋燕伶.腔内心电图对PICC尖端定位效果的Meta分析[J].护理研究,2017,31(36):4646-4652.DOI:10.3969/j.issn.1009-6493.2017.36.016.
[15] 周青. 腔内ECG特征性P波振幅在PICC导管尖端定位中的实证研究[D]. 遵义:遵义医科大学,2019.DOI:10.7666/d.D01727209.
[16] 熊巍,张丽芳,张纯.手臂内收30°时腔内心电图下PICC导管尖端定位的效果观察[J].护理学报,2021,28(7):69-73.DOI:10.16460/j.issn1008-9969.2021.07.069.
[17] 严云丽,景婧,余莉婷,等.改良置管术结合腔内心电图定位用于PICC置管[J].护理学杂志,2020,35(23):39-41.DOI:10.3870/j.issn.1001-4152.2020.23.039.
[18] 张建红,吴宏荷,高红娟.盐水柱腔内心电图引导技术在PICC尖端定位中的应用[J].护士进修杂志,2018,33(11):1045-1047.DOI:10.16821/j.cnki.hsjx.2018.11.027.
[19] 马丽华,张新萍,孙敏珠. PICC原发性导管异位相关因素及处理的研究进展[J].上海护理,2017,17(6):57-59.DOI:10.3969/j.issn.1009-8399.2017.06.017.
[20] Lenz H, Myre K, Draegni T, et al.A Five-year Data Report of Long-term Central Venous Catheters Focusing on Early Complications[J]. Anesthesiol Res Pract, 2019:6769506.DOI:10.1155/2019/6769506.
[21] Infusion Nursing Society.Policies and Procedures for Infusion Therapy[J]. Home Healthc Nurse, 2016, 23(11):745-746.
[22] 林琴,王童语,夏开萍,等.输液港原发性导管异位相关因素及防治的研究进展[J]. 中华护理教育,2021,18(10):956-960. DOI:10.3761/j.issn.1672-9234.2021.10.019.
[23] 邓益君,黄秋雨.PICC尖端定位方法的研究进展[J].中国实用护理杂志,2018,34(27):2158-2160.DOI:10.3760/cma.j.issn.1672-7088.2018.27.017.
[24] Johnston AJ, Holder A, Bishop SM,et al.Evaluation of the Sherlock 3CG Tip Confirmation System on Peripherally Inserted Central Catheter Malposition Rates[J]. Anaesthesia, 2015, 69(12):1322-1330.DOI:10.1111/anae.12785.
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