摘要
目的探讨改良置管方法在B超引导下行外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)穿刺中的效果。方法采用随机分组方法将200例患者分为实验组和对照组,每组100例,实验组患者PICC血管穿刺成功后先送入导丝,再松开止血带;对照组采用常规方法,即在血管穿刺成功后先松开止血带,再送导丝。结果实验组在置管过程中出现导丝送入困难、送管困难及再次穿刺例数均低于对照组,出血量少于对照组,差异具有统计学意义(均P<0.05)。结论 PICC置管中血管穿刺后先送导丝再松止血带,可有效减少置管出血量,提高置管效果,值得在临床护理工作中推广应用。
Objective To explore the effect of improved method on intubation of peripherally inserted central catheter（PICC）under ultrasound guidance. Methods A total of 200 cancer patients who received PICC intubation for the first time were divided randomly into the experiment group and control group in equal number. The experiment group received intubation by leading the guide wire first and then loosening the tourniquet on PICC intubation after the successful puncturing of blood vessels, while the control group was treated with conventional method of loosening the tourniquet first, and then leading the thread after successful puncturing of blood vessels. Result Compared with the control group, the experiment group had less difficulties in leading guide wire and inserting the cathether and smaller rate of re-puncturing and less blood loss（P〈0.05）. Conclusion The operation by leading the tread first and then loosening the tourniquet after puncturing can be effective in reducing blood loss and meanwhile improve the intubation effect.
出处
《现代临床护理》
2016年第10期42-45,共4页
Modern Clinical Nursing
基金
2014年度院内护理科研基金
项目编号为201402
关键词
经外周静脉置入中的静脉导管
改良置管方法
护理
peripherally inserted central catheter
improved inserted catheter method
nursing
