摘要
目的探讨不同PICC置管时机对血液病患者静脉炎的影响。方法收集性PICC置管治疗的血液病患者145例。根据随机数字表法将上述患者分为观察组(n=72)和对照组(n=73)。观察组于化疗前2d进行PICC置管,对照组于化疗当日进行PICC置管。观察两组静脉炎发生情况和置管前后7d时的血管壁厚度及组织水肿和血管微血栓形成情况。结果观察组的静脉炎发生率明显低于对照组(P<0.05),观察组的静脉炎严重程度明显轻于对照组(P<0.05)。置管后7d时,观察组穿刺血管壁厚度明显薄于对照组(P<0.05),穿刺部位组织水肿及血管微血栓发生率明显低于对照组(P<0.05)。结论化疗前2d进行PICC置管,能降低静脉炎发生率并减轻静脉炎的程度,利于穿刺部位血管的修复,减轻炎症状态,降低微血栓的形成。
Objective To investigate the effect of PICC catheterization opportunity on phlebitis in patients with hematological diseases. Methods 145 cases of blood diseases who were treated by PICC catheterization were selected. They were divided into the observation group （n=72） and the control group （n=73） according to the random number table method. In the observation group, PICC was placed two days before chemotherapy, and the control group was treated with PICC tube on the day of chemotherapy. The incidence of phlebitis in two groups and the thickness of vascular wall, tissue edema and vascular microthrombus formation were observed at 7d before and after catheterization. Results The incidence of phlebitis in the observation group was significantly lower than that in the control group （P 〈 0.05）, and the severity of phlebitis in the observation group was significantly lower than that in the control group （P 〈 0.05）. At 7 days after the catheter, the vessel wall thickness in the observation group was significantly thinner than that in the control group（P 〈 0.05）, and the incidence of tissue edema and microvascular thrombosis in the puncture site was significantly lower than that in the control group （P 〈 0.05）. Conclusion PICC catheter at two days before chemotherapy can reduce the incidence of phlebitis and reduce the degree of phlebitis. It is beneficial to the repair of blood vessels in the puncture site, to reduce the inflammatory state and to reduce the formation of micro thrombus.
出处
《中国医药科学》
2018年第1期230-232,240,共4页
China Medicine And Pharmacy
关键词
PICC置管时机
血液病
静脉炎
微血栓
PICC catheterization opportunity
Hematopathy
Phlebitis
Micro thrombus
