摘要
目的探讨穿刺侧肢体外展120°体位对气管切开患者PICC置管的影响。方法将120例需行PICC穿刺的气管切开患者,随机分为试验组和对照组,各60例。对照组采用传统穿刺体位。试验组采用穿刺侧肢体外展120°体位。比较两组置管成功率、置管时间、患者舒适度、置管后并发症的差异。结果试验组置管成功率100%,平均置管时间28min,置管后并发症发生率3.3%。对照组置管成功率88.3%,平均置管时间40min,置管后并发症发生率26.4%,两组比较有显著性差异(P<0.05)。术后舒适度评分,试验组为2.5分,对照组为2.8分,两组比较无显著性差异(P>0.05)。结论对于气管切开患者行PICC置管,穿刺侧肢体外展120°较传统穿刺体位更加安全高效,减少了患者痛苦及因反复盲目调节导管而导致的感染发生,也简化了护士的操作流程,更重要的是增加了气管切开患者PICC置管的成功率,保证患者得到及时有效的治疗。
Objective To explore the effect of 120°outreach posture for placing PICC tube for patients with incision of tracheal. Methods 120 patients with incision of tracheal were divided into two groups randomly. 60 cases of patients re- ceived traditional puncture posture of PICC in the control group while received 120°outreach posture in the experiment group. All patients were assessed the achievement rate of PICC placement, process time, complication incidence and comfort level of patients. Results In the experiment group, the achievement rate of PICC placement, process time, complication in- cidence of 120°outreach posture was 100%, 28min, and 3. 3% respectively, while 88. 3%, 40min and 26.4% of traditional puncture posture of PICC respectively in the control group. That was a significant difference between the two groups （P〈0. 05）. The comfort score after operation was 2. 5 of 120°outreach posture group and 2.8 of control group（P〉0. 05）.There was no statistical difference. Conclusion of 120°outreach posture for placing PICC tube with incision of tracheal can not only reduce the Application for patients incidence ofinfection , relieve patient distress and simplify nursing process,but also improve the achievement rate of PICC placement in order to receiving prompt treatment.
出处
《临床护理杂志》
2013年第3期64-66,共3页
Journal of Clinical Nursing
