CAJ | 학술논문

目的观察经外周静脉置入中心静脉导管(PICC)置管的病人静脉炎的发生率及发生静脉炎后治疗效果,有效地减轻病人的痛苦.方法对60例PICC置管病人分为3组,3组分别选择贵要静脉、正中静脉、头静脉的血管置入三向瓣膜式PICC管,评估静脉炎的发生概率及治疗效果,对结果进行统计分析.结果贵要静脉20例簧管病人中,发生静脉炎2例,全部治愈;正中静脉20例置管病人中,发生静脉炎3例,全部治愈;头静脉20例置管病人中,发生静脉炎11例,9例治愈,2例被迫拔管.结论头静脉PICC置管的病人静脉炎发生率最高、治疗时间最长、治愈率最低,减少头静脉置管可以减少静脉炎的发生及减轻病人的痛苦.
목적 관찰경외주정맥치입중심정맥도관(PICC)치관적병인정맥염적발생솔급발생정맥염후치료효과,유효지감경병인적통고.방법 대60례PICC치관병인분위3조,3조분별선택귀요정맥、정중정맥、두정맥적혈관치입삼향판막식PICC관,평고정맥염적발생개솔급치료효과,대결과진행통계분석.결과 귀요정맥20례황관병인중,발생정맥염2례,전부치유;정중정맥20례치관병인중,발생정맥염3례,전부치유;두정맥20례치관병인중,발생정맥염11례,9례치유,2례피박발관.결론 두정맥PICC치관적병인정맥염발생솔최고、치료시간최장、치유솔최저,감소두정맥치관가이감소정맥염적발생급감경병인적통고.
Objective To observe the incidence of phlebitis in patients with PICC through peripheral vein and its nursing effect, in order to aLleviate the patients' suffering. Methods The 60 volunteers were divided into three groups randomly, who were received PICC through basilie vein, vena mediana and cephalic vein, the incidence of of phlebitis and therapeutic effieaey were analyzed. Results 2 patients appeared phlebitis in 20 cases received PICC through basilic vein, 3 patients in 20 eases through eubital vein, and all cured;11 patients in 20 eases through cephalic vein, while 9 patients were cured and 2 patients were detubated in cephalic vein group. Conclusions It' s suggested that the prevalence of phlebitis with PICC through cephalic vein is high, with long treat time and low cure rate. It' s likely to reduce the phlebitis occurrence and patients relief from pain through eephalic vein.