【摘要】 目的:研究在外周置入中心静脉导管置管操作中,通过对非压迫联合云南白药止血法和食指与中指按压鞘膜末端止血法比较,寻找提升一次性置管成功率,降低机械静脉炎、血栓发生率的方法,为临床护理工作做出科学依据。方法:选取住院行外周置入中心静脉导管置管的患者共260例。处理方法将非压迫组152例,使用非压迫联合云南白药止血法置管;压迫组108例,使用食指与中指按压鞘膜末端止血法置管。结果:非压迫组和压迫组患者的一次性置管成功率、机械性静脉炎、导管相关性血栓发生率、置管所用时间比较,差异有统计学意义(P<0.05);患者的年龄、性别、疾病比较,差异无统计学意义(P>0.05)。结论:在外周置入中心静脉导管置管操作中,用非压迫联合云南白药止血法,替代食指与中指按压鞘膜末端止血法,可以提升一次性置管成功率,降低机械性静脉炎、血栓发生率,节省置管所用时间。更多还原

【Abstract】 Objective To explore the application effect of in PICC operation,Non- oppression Hemostasis and Yunnan baiyao,instesd of index and long finger Oppressing Hemostasis,could reduce PICC complications. Method 260 patients who arrived at the hospital required to undergo PICC were divided to the experimental group( n = 152) and control group( n = 108) according to they were in hospital in tine sequence,patients in experimental group apply Non- oppression Hemostasis in PICC operation. Patients in control group apply oppression Hemostasis. Results Significant differences were observed among the rate of one- time placement,catheter related clot,mechanical phlebitis,placement time between the two groups( P < 0. 05). Patients’ age sex and disease between the two groups weren’t statistically significant( P > 0. 05). Conclusion The application of Non- oppression Hemostasis and Yunnan baiyao in PICC operation can improve one- time placement,reduce incidence of catheter related thrombosis,mechanical phlebitis,the amount of bleeding and placement time.更多还原