摘要
目的观察手法按摩在血液病患儿PICC正常拔管困难中的作用效果。方法回顾性分析2012年1月至2016年12月本院儿科血液病区发生的12例拔管困难案例,前6例采用常规护理措施无效后直接实施手术取管,后6例常规护理措施无效后使用手法按摩拔管。结果通过手法按摩5例拔管困难顺利拔管,拔出的导管表面均覆有白色纤维蛋白鞘。结论拔管困难时在排除血栓及导管异位的情况下采用我科首创的手法按摩可以使痉挛的血管舒张,使导管与血管壁相连处松懈,并且通过一定的力度使可能存在于导管表面的纤维蛋白鞘剥离,可以提高徒手拔管成功率,避免介入手术拔管及静脉切开手术拔管,降低患儿痛苦、减轻医疗费用,提升护理质量。
Objective To observe the effect of manual massage used in the difficult decannulation of peripherally inserted central catheter(PICC)in children with hematological diseases.Methods 12 cases of difficult decannulation of PICC in the Children’s Hematological Department of our hospital during January,2012 and December,2016 were retrospectively analyzed.6 PICCs of the 12 cases were taken out by operation after the failure of routine nursing intervention.After that,we applied manual massage for the other 6 after the failure of routine nursing intervention,with the exception of thrombosis and heterotopia of PICC catheters.Results 5 of the other 6 cases were taken out through the manual massage with diffused white fibrin shell covering the surface of those catheters.Conclusions The manual massage which was created by our department can increase the success rate of difficult decannulation,avoiding the interventional and phlebotomize operations.It can relax the spasmodic blood vessels,separating the connection between the catheter and the blood vessel wall,stripping the possible fibrin shell which covered on the surface of the PICC catheter with a certain strength,and increasing the decannulation rate by hands.Therefore,it reduces the trauma of patients and hospitalization cost and improves the nursing quality.
作者
唐冬燕
余润婷
钟婷
Tang Dongyan;Yu Runting;Zhong Ting(Department of Pediatrics,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China)
出处
《国际医药卫生导报》
2020年第8期1134-1136,共3页
International Medicine and Health Guidance News
关键词
手法按摩
血液病患儿
PICC
拔管困难
Manual massage
Children with hematological diseases
PICC
Difficult decannulation