CAJ | 학술논문

目的探讨肝癌肝移植术后预防性化疗患者应用PICC的安全性及护理方法.方法对60例肝癌肝移植术后应用PICC进行预防性化疗的患者,观察其置管、带管及拔管全过程中并发症及异常情况的发生率,并与同期66例肺癌肺叶切除术后应用PICC进行化疗的患者进行对比观察;同时,总结肝癌肝移植术后应用PICC进行预防性化疗患者的护理方法.结果 2组在置管成功率、导管异位发生率、静脉炎发生率方面比较,差异无统计学意义(P＞0.05);2组在非计划性拔(脱)管率、穿刺点局部愈合不良发生率、可疑导管相关性血流感染发生率方面,肝移植组显著高于肺癌组,差异有统计学意义(P＜0.05);2组导管相关性血流感染发生率均为0.结论严格无菌技术操作、规范导管维护流程并做好患者的宣教管理,能确保肝癌肝移植术后患者应用PICC进行预防性化疗的安全.
목적 탐토간암간이식술후예방성화료환자응용PICC적안전성급호리방법.방법 대60례간암간이식술후응용PICC진행예방성화료적환자,관찰기치관、대관급발관전과정중병발증급이상정황적발생솔,병여동기66례폐암폐협절제술후응용PICC진행화료적환자진행대비관찰;동시,총결간암간이식술후응용PICC진행예방성화료환자적호리방법.결과 2조재치관성공솔、도관이위발생솔、정맥염발생솔방면비교,차이무통계학의의(P＞0.05);2조재비계화성발(탈)관솔、천자점국부유합불량발생솔、가의도관상관성혈류감염발생솔방면,간이식조현저고우폐암조,차이유통계학의의(P＜0.05);2조도관상관성혈류감염발생솔균위0.결론 엄격무균기술조작、규범도관유호류정병주호환자적선교관리,능학보간암간이식술후환자응용PICC진행예방성화료적안전.
Objective To explore the safety and nursing methods of PICC used by preventive chemotherapy patients with liver cancer after liver transplantation.Methods A total of 60 patients with liver cancer after liver transplantation were treated with PICC for preventive chemotherapy.Complication and abnormal condition were observed during the process of indwelling catheter,drawing catheter,they were compared with 66 paitents with lung cancer who were treated with PICC for preventive chemotherapy after pulmonary lobectomy.The nursing methods for the application of PICC were summarized.Results Comparing this two groups in terms of success rate,the incidence of abnormal catheter removal and phlebitis,the differences were not statistically significant ( P ＞ 0.05 ).In terms of the incidence of unplanned tube drawing and detached,the incomplete healing of puncture point and suspected catheter-related bloodstream infection,the liver transplantation group was significantly higher than the lung cancer group,the difference was statistically significant (P ＜ 0.05).Both of the groups,the incidence of catheter-related bloodstream infection (CRBSI) was 0.Conclusions It is crucial for the security of liver cancer patients with PICC for prophylactic chemotherapy after liver transplantation to standardize strictly aseptic operating,rull the process of catheter maintenance.