Comparison of Two Different Inserted Methods of Vein Catheter in Patients with Chronic Heart Failure

Objective To observe and compare the applying effects between peripherally inserted central catheter(PICC) and central vein catheter(CVC) in the patients with chronic heart failure(CHF) so as to provide evidence for clinical application.Methods A total of 165 CHF patients from January to December 2009 were randomly divided into a PICC group(n=83) with jugular vein catheterization and a CVC group(n=82) with peripheral vein catheterization.Then comparisons were conducted on the operative time,one-time success rate of catheterization,self-comfort level of the patients,operation-related complications,catheter-related bloodstream infections between the two groups.Results The operative time of catheterization was significantly less in the PICC group than in the CVC group(P0.05).The one-time success rate of catheterization was significantly higher in the PICC group than in the CVC group(P0.05).The incident of catheterization-related complication was significantly lower in the PICC group than in the CVC group(P0.05).The incident of catheter-related bloodstream infections was significantly lower in the PICC group than in the CVC group(P0.05).The self-comfort level was significantly lower in the PICC group than in the CVC group(P0.05).Conclusion PICC is the first choice of the CHF patients to establish the vein access.While CVC is the preferred method for emergent CHF patients.