磁导航在儿童PICC放置中的应用：一项回顾性研究。

IF 1.8 4区医学 Q4 ENGINEERING, BIOMEDICAL

Technology and Health Care Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI:10.1177/09287329251347875

Qiong Chen, Yanchao Li, Huihuan Zhu, Qiaoru Li

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引用次数: 0

摘要

背景：外周置管中心导管（PICC）广泛用于儿科患者的长期静脉治疗，可有效防止导管移位。目的：本研究旨在探讨磁导技术与超声成像和人工控制导管路径的效果。方法：对照组采用超声引导下Seldinger技术放置PICC (n = 86)，磁导航组采用磁体辅助放置PICC （n = 80）。两组患者置管后均行x线胸片（CXR）确认导管尖端位置。比较插入时间、首次尝试成功率、并发症发生率、术后疼痛、术后焦虑和家属满意度。结果：与对照组相比，磁导航明显缩短了置管时间（28.2±3.67 min vs. 34.85±2.94 min） P P P P P结论：与传统超声引导方法相比，磁导航在小儿PICC置管中具有更高的效率，具有广阔的临床应用前景和推广价值。

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Application of magnetic navigation for pediatric PICC placement: A retrospective study.

Background: Peripherally Inserted Central Catheters (PICC) are widely used for long-term intravenous therapy in pediatric patients and are effective in preventing catheter displacement.

Objective: This study aimed to investigate the effect of magnetic navigation technology compared with ultrasound imaging and manual control of the catheter path.

Methods: The control group underwent PICC placement using the Seldinger technique under ultrasound guidance (n = 86), while the magnetic navigation group received magnet-assisted PICC placement (n = 80). Both groups used chest X-ray (CXR) after catheter placement to confirm the tip position. Insertion time, first-attempt success rate, complication rate, post-procedural pain, post-procedural anxiety, and family satisfaction were compared.

Results: Compared to the control group, magnetic navigation significantly reduced catheter insertion time (28.2 ± 3.67 min vs. 34.85 ± 2.94 min, P < 0.001), improved first-attempt success rate (91.25% vs. 41.86%, P < 0.001), and lowered the complication rate (21.25% vs. 66.28%, P < 0.001). In addition, magnetic navigation alleviated post-procedural pain and anxiety (P < 0.01), and improved family satisfaction (P < 0.01).

Conclusion: Compared to traditional ultrasound-guided methods, magnetic navigation offers superior efficiency in pediatric PICC placement, highlighting its promising potential for clinical application and broader implementation.

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来源期刊

Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL

CiteScore

2.10

自引率

6.20%

发文量

282

审稿时长

>12 weeks

期刊介绍： Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).