摘要
目的探讨statlock固定方法和传统固定方法在外周置入中心静脉导管(peripherally inserted central catheter,PICC)固定中的效果。方法选择经肘部成功置入PICC的227例患者为对照组,采用传统固定方法固定PICC导管;选择经肘部成功置入PICC的189例患者为实验组,采用statlock固定PICC导管,同时将实验组分为A组(肘部置入)和B组(肘上置入)两组。分别比较实验组和对照组及AB两组患者发生穿刺点局部渗液、导管移动和静脉炎的差异。结果实验组患者发生穿刺点局部渗液、导管移动和静脉炎的发生率均较对照组低;而B组(肘上置入)患者各观察指标的发生率均低于A组(肘部置入),两组比较,均P<0.05,差异具有统计学意义。结论采用statlock固定方法固定PICC导管,可有效降低穿刺点局部渗液、导管移动和静脉炎的发生率,而采用肘上置入的效果优于肘部置入。
Objective To compare the effects of statlock fixing and cultural fixing of peripherally inserted central catheter （PICC）. Methods 227 patients who received cultural fixing method were set as the control group and 189 patients who received statlock for fixing as the experiment group, which was also divided into group A and group B （elbow and superior elbow implantations） according to the position of placement. The three groups were compared in respect of the incidence of dialyzate leaking, movement of the catheter, and incidence of phlebitis. Results The incidence of dialyzate, movement of the catheter, and phlebitis in the experiment group were lower than those of the control group. Group B was all lower than group A （P 〈 0.05）. Conclusion Placement and fixing of PICC above the elbow is better than that at the elbow, the statlock fixing may be effective for decrease of local effusion and lowering of local effusion, movement of catheter and phlebitis.
出处
《现代临床护理》
2012年第7期48-49,共2页
Modern Clinical Nursing
关键词
外周置入中心静脉导管
固定方法
并发症
peripherally inserted central catheter
methods for fixing
complications
