摘要
目的:研究改良送鞘法在肿瘤化疗患者外周中心静脉导管(PICC)置管中的应用效果。方法:选取2021年6—12月江门市中心医院收治的200例肿瘤化疗患者。根据随机数表法将其分为对照组和观察组,各100例。对照组在PICC置管过程中应用传统扩皮送鞘法,观察组在PICC置管过程中应用改良送鞘法。比较两组送鞘情况,置管后24 h、48 h、72 h渗血及渗液情况、疼痛程度,并发症及满意度。结果:观察组送鞘次数明显少于对照组,一次性送鞘成功率高于对照组,差异有统计学意义(P<0.05)。置管后24 h、48 h、72 h,观察组渗血率及渗液率均低于对照组,差异有统计学意义(P<0.05)。置管后24 h、48 h、72 h,观察组视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组总满意度为93.0%,高于对照组的77.0%,差异有统计学意义(P<0.05)。结论:在肿瘤化疗患者接受PICC置管过程中应用改良送鞘法可提高一次性成功率,减轻疼痛程度的同时,并发症在很大程度上降低,具有更高安全性,可提高满意度。
Objective:To study the application effect of improved sheath delivery method in peripherally inserted central venous catheter(PICC)catheterization in tumor chemotherapy patients.Method:A total of 200 tumor chemotherapy patients admitted to Jiangmen Central Hospital from June to December 2021 were selected.They were divided into control group and observation group according to random number table method,with 100 cases in each group.In the control group,the traditional skin expansion and sheath delivery method was applied during PICC catheterization,while in the observation group,the improved sheath delivery method was applied during PICC catheterization.The sheath delivery conditions,blood and fluid seepage condition,pain degree at 24 h,48 h and 72 h after catheterization,complications and satisfaction of the two groups were compared.Result:The frequency of sheath delivery in the observation group was significantly lower than that in the control group,and the success rate of one-time sheath delivery was higher than that in the control group,the differences were statistically significant(P<0.05).At 24 h,48 h and 72 h after catheterization,the blood seepage rate and fluid seepage rate in the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)scores of the observation group were lower than those of the control group at 24 h,48 h and 72 h after catheter placement,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The total satisfaction of the observation group was 93.0%,which was higher than 77.0%of the control group,and the difference was statistically significant(P<0.05).Conclusion:In the process of tumor chemotherapy patients receiving PICC catheterization,the application of improved sheath delivery method can improve the one-time success rate,reduce the pain level,reduce the complications to a large extent,have higher safety,and improve satisfaction.
作者
钟根梅
曾惠洁
王海燕
ZHONG Genmei;ZENG Huijie;WANG Haiyan(Jiangmen Central Hospital,Jiangmen 529000,China;不详)
出处
《中外医学研究》
2024年第20期115-119,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
江门市科研项目(2022YL01060)。
关键词
改良送鞘法
肿瘤化疗
PICC
置管
疼痛程度
并发症
Improved sheath delivery method
Tumor chemotherapy
PICC catheterization
Degree of pain
Complication
