CAJ | 학술논문

目的比较两种封管液对白血病患者外周导入中心静脉置管(PICC)留置效果的影响.方法将60例应用PICC置管化疗的白血病患者随机分为观察组和对照组各30例.观察组用0.9%生理盐水作封管液,对照组用肝素钠盐水(含肝素钠50 U/L)作封管液.结果观察组与对照组PICC穿刺点出血率比较差异有统计学意义(P＜0.05),而观察组与对照组静脉炎发生率、PICC管的堵管率比较,差异无统计学意义(P均＞0.05).结论生理盐水能维持细胞外液容量及渗透压,符合生理要求,可代替肝素盐水封管,以减少PICC穿刺点出血的发生率.
목적 비교량충봉관액대백혈병환자외주도입중심정맥치관(PICC)류치효과적영향.방법 장60례응용PICC치관화료적백혈병환자수궤분위관찰조화대조조각30례.관찰조용0.9%생리염수작봉관액,대조조용간소납염수(함간소납50 U/L)작봉관액.결과 관찰조여대조조PICC천자점출혈솔비교차이유통계학의의(P＜0.05),이관찰조여대조조정맥염발생솔、PICC관적도관솔비교,차이무통계학의의(P균＞0.05).결론 생리염수능유지세포외액용량급삼투압,부합생리요구,가대체간소염수봉관,이감소PICC천자점출혈적발생솔.
Objective To explore the effects of the two injection liquids to seal trochars in patients with ieukemia by peripherally inserted central catheter. Methods Sixty cases of ieukemia were randomly divided into the observation group (30 cases) and the control group (30 cases). For the observation group, 0.9% sodium chloride injection was adopted to seal the trochars, while for the control group, sodium chloride injection containing heparin sodium (heparin sodium 50 U/ml) was adopted. The sealing effects of these two kinds of injections were compared. Results There was statistical difference between the two groups in the rate of the puncture ( P ＜ 0.05 ). While there was no statistical difference between the two groups in the rate of phlebitis or the rate of blockage ( P ＞ 0.05 ). Conclusions 0.9% sodium chloride injection may presrve extracellular fluid volume and osmotic pressure. Therefore, 0.9% sodium chloride injection can replace sodium chloride injection containing heparin sodium ( heparin sodium 50 U/ml) in order to seal venous trochars for neonates and to minimize the hemorrhaging at the puncture.