摘要
目的 探讨外周静脉穿刺置入中心静脉导管在重度慢性阻塞性肺疾病患者中的应用及观察有效护理方法.方法 选取我院住院重度慢性阻塞性肺疾病患者为研究对象,每组各100例,使用PICC途径的为A组,使用外周静脉留置针的为B组.A组采用PICC技术置管的护理方法;B组采用外周静脉留置针置管的护理方法.比较两组患者的并发症、置管时间等情况.结果 A组一次性穿刺成功90例（90％）,平均置管操作时间为（23.8±6.6）min,B组一次性穿刺成功92例（92％）,平均置管操作时间为（5.5±2.8）min.主要并发症如静脉炎、感染、导管阻塞、导管脱落等,A组6例（6％）出现并发症,B组13例（13％）出现并发症.A组留管时间为（12±1.5）天,B组留管时间为（5±1.0）天.结论 PICC在重度慢性阻塞性肺疾病患者置管中具有较高的成功率,可有效减少穿刺并发症的发生率,值得临床应用.
Objective To explore the application use and nursing care of peripherally inserted central catheter in patients with moderate severe chronic obstructive pulmonary disease （COPD） and observe the effective methods of care.Methods In our hospital patients with severe COPD were selected as experimental subjects and divided into two groups,with 100 cases in each group,group A used PICC method,while a peripheral intravenous catheter was set to group B.Complications and the catheter time of the two groups were compared.Results The one-time puncture success rate was 90% in group A using PICC,with the average indwelling catheter operation time as （23.8 ± 6.6） min,one-time puncture success rate in group B was 92%,with average indwelling catheter operation time as （5.5 ± 2.8） min.The main complications included phlebitis,infection,catheter block and catheter drop.6 cases found with complications in group A,while it was 13 cases in group B.And the indwelling catheter time of group A was （12 ± 1.5） days,while it was （5 ± 1.0） days in group B.Conclusion PICC application in patients with severe COPD catheter has high success rate,which can effectively reduce the incidence of complications of the puncture,worthy of clinical application.
出处
《国际医药卫生导报》
2014年第1期16-19,共4页
International Medicine and Health Guidance News
基金
2011年度云浮市医药卫生科技项目（2011B055）
关键词
PICC
重度慢性阻塞性肺疾病
并发症
护理对策
Peripherally inserted central catheter （PICC）
Severe chronic obstructive puhnonarydisease
Complications
Care measures
