CAJ | 학술논문

目的研究肿瘤患者经PICC采集血标本对血液检验结果与导管并发症的影响,探讨经PICC采血的路径与可行性.方法采用临床自身对照实验,选择100例患者自PICC采集血标本(观察组),并同时自对侧肢体用普通法采集等量血作为对照标本(对照组),比较2组标本血常规、血生化、凝血功能等检验结果的差异；同时观察统计该100例患者采血后1周内导管相关并发症的发生情况.结果 2组标本各项检验结果比较无显著差异；2组采血后1周内均无导管相关并发症发生.结论经PICC采集血标本准确、安全、方便、可行,关键在于严格落实科学规范的采血路径与操作人员的资格准入.
목적 연구종류환자경PICC채집혈표본대혈액검험결과여도관병발증적영향,탐토경PICC채혈적로경여가행성.방법 채용림상자신대조실험,선택100례환자자PICC채집혈표본(관찰조),병동시자대측지체용보통법채집등량혈작위대조표본(대조조),비교2조표본혈상규、혈생화、응혈공능등검험결과적차이；동시관찰통계해100례환자채혈후1주내도관상관병발증적발생정황.결과 2조표본각항검험결과비교무현저차이；2조채혈후1주내균무도관상관병발증발생.결론 경PICC채집혈표본준학、안전、방편、가행,관건재우엄격락실과학규범적채혈로경여조작인원적자격준입.
Objective To study the influence of collecting blood specimen of cancer patients through PICC on blood test result and catheter-related complication,and discuss the path and feasibility of collecting blood through PICC.Methods Adopting clinical self-contrast experiment,collecting blood specimens of 100 patients at one side through PICC (the observation group)and by ordinary method at the other side of limbs (the control group),comparing the test differences of blood routine,blood biochemistry,and coagulation function,etc.between the two groups.The incidence of catheter-related complication was also observed a week after collecting blood through PICC.Results There was no statistic difference between the two groups in terms of test results.No case of catheter-related complication in a week after collecting blood occurred in the observation group.Conclusions The method of collecting blood specimen through PICC is accurate,safe and feasible,the key point is to implement scientific and standard collecting path and entry-qualification of operators strictly.