摘要
目的观察两种压迫方式对于PICC置管患者局部渗血的效果,为PICC规范化操作提供依据。方法将185例置入PICC导管的住院患者,随机分为实验组90例和对照组95例。两组均用标准操作程序置入PICC,在常规护理的基础上,实验组为置管术后折叠无菌纱布成长方体压迫穿刺点后贴上透明敷料;对照组为穿刺点放置明胶海绵贴敷透明敷料后外加弹力绷带固定。并观察两组局部止血效果。结果实验组局部渗血37例,渗血率为41%。对照组局部渗血56例,渗血率为58%。两组比较有显著性差异(P<0.05)。结论纱布块压迫止血优于明胶海绵加弹力绷带用于PICC置管后压迫方式,可应用于临床。
Objective To investigate hemostatic effect of two groups after peripherally inserted central catheters （PICC） and compare the practicability, advantage and shortcoming, in order to provide evidence for PICC standard operation. Meth- ods One hundred and eighty--five inpatients with PICC were randomly divided into two groups, experiment group and con- trol group. Both of them were placed according to standard procedure. On the basis of conventional nursing, axenic gauze was folded into cube to compress puncture point and then transparent dressing pasted in experiment group, gelatin sponge was put on puncture po control group, hemos observed. Results Th int and then elastic bandage fixed in tatic effect of two groups were e number of blood effused patientswas 37 and 56 in experiment group and control group respectively. There was significant statistical difference between two groups （P^0.05）. Conclusions Hemostatic effect of axenic gauze constricting puncture point and then transparent dressing pasted was superior to that of gelatin sponge putting on puncture point and then elastic bandage fixed.
出处
《临床护理杂志》
2012年第6期63-65,共3页
Journal of Clinical Nursing
基金
江苏省肿瘤医院科研基金项目(编号:ZH201002)
