摘要
目的:探讨PICC置管在食道癌患者术后的应用价值及临床护理措施。方法:将108例患者按就诊的先后顺序随机分为对照组、观察组,每组54例,2组均实行胃肠外静脉输入营养液治疗及临床护理,其中对照组采用静脉留置针输液,观察组采用PICC置管输液,比较2组导管留置时间、并发症发生率及患者满意度情况。结果:导管留置时间观察组为(22.41±5.36)天,对照组为(57.82±14.13)天,2组比较差异有统计学意义(P<0.05)。静脉炎、堵管、液体外渗、局部红肿、感染等并发症的发生率观察组均明显低于对照组,2组比较差异有统计学意义(P<0.05)。临床护理效果满意率观察组为96.30%,对照组为74.07%,2组比较差异有统计学意义(P<0.05)。结论:对食道癌患者实行PICC置管和及时合理的临床护理,能够延长导管的留置时间、减轻患者的痛苦、降低并发症的发生率,提高患者满意度。
Objective: To discuss the values of PICC applied to the patients after the surgery of esophagus cancer and clinical nursing measures. Methods: All 108 patients were randomized into the observation group and the control group according to the visiting order, 54 cases each group. Both groups adopted parenteral venous inflow of nutrient solution and clinical care, among them, the control group were infused by venous indwelling needle and the observation group infused by PICC, catheter indwelling time, the incidences of the complication and the patients′ satisfaction degrees of both groups were compared. Results: Catheter indwelling time of the observation group was(22.41±5.36)days, shorter than(57.82 ±14.13) days of the control group, and the difference had statistical meaning(P <0.05).The observation group was lower than the control group in the incidence of the complications including phlebitis,tube plugging, fluid exudation, local swelling, infection and others obviously, and the difference showed statistical meaning(P<0.05). Clinical nursing effects satisfactory rate of the observation group was 96.3%, higher than 74.07%of the control group, and the difference was statistically significant(P<0.05). Conclusion: PICC and timely, rational clinical nursing given to the patient with esophagus cancer could prolong the indwelling time of the catheter, relieve the patients′ pain, decrease the incidence of the complications and improve the patients′ satisfactory degrees.
出处
《西部中医药》
2017年第12期126-128,共3页
Western Journal of Traditional Chinese Medicine
关键词
食道癌
PICC
临床护理
esophagus cancer
PICC
clinical nursing
