摘要
目的探讨应用温和灸处理经外周静脉穿刺中心静脉置管(PICC)穿刺点反复渗液中的效果。方法60例出现PICC穿刺点渗液的患者分为对照组与治疗组,各30例。对照组使用无菌纱布块加压包扎、3M透明敷贴固定的方式处理,治疗组在对照组的基础上给予温和灸。对比2组患者渗液消退时间、并发症发生率、住院期间导管维护费用,评价患者家属对护理工作的满意度。结果治疗组渗液消退时间和住院期间导管维护费用低于对照组(P<0.01),治疗组患者家属对护理工作的满意度高于对照组(P<0.01),2组置管相关并发症发生率差异无统计学意义(P>0.05)。结论温和灸可有效缓解PICC置管穿刺点反复渗液,对预防置管相关并发症具有积极意义。
Objective To investigate the effect of mild-warmmoxibustion in treatment of the puncture site leakage after peripherally inserted central catheterization（ PICC）. Methods To tally 60 patients suffering puncture site leakage after PICC were assigned into the treatment group and the control group,with 30 cases in each group. Patients in both two groups received pressure bandaging with sterile gauze and fixation with 3 Mtransparent dressing on the puncture site,and those in the treatment group were given mild-warmmoxibustion. The time to leakage remission,incidence of catheter-related complications,catheter maintenance costs and satisfactory degree of family members on nursing service were observed and compared between two groups. Results Patients of the treatment group had a shorter time to leakage remission and lower catheter maintenance costs compared with those in the control group（ P〈0. 01）. The satisfactory rate on nursing service was higher in the treatment group than that of controls（ P〈0. 01）. There was nosignificant difference in catheter-related complication between two groups（ P〈0. 05）. Conclusion The mild-warmmoxibustion is potentially effective to relieve the puncture site leakage after PICC.
作者
刘亚莉
张燕襄
赖惠燕
LIU Yali;ZHANG Yanxiang;LAI Huiyan(Department of Ophthalmology, Armed Police Crops Hospital of Guangdong, Guangzhou, Guangdong, 517507)
出处
《中西医结合护理（中英文）》
2018年第4期83-85,共3页
Journal of Clinical Nursing in Practice
关键词
温和灸
经外周静脉穿刺中心静脉置管
静脉炎
导管相关性感染
mild-warm moxibustion
peripherally inserted central catheterization
phlebitis
catheter-related infections
