CAJ | 학술논문

目的比较3种不同静脉输液途径在肠外营养中的效果.方法将90例长期肠外营养的患者随机分为三组,每组各30例,其中A组留置针、B组深静脉置管(CVC)、C组经外周穿刺的中心静脉导管(PICC)进行置管给药,并观察长期置管的临床效果.结果 A组置管成功率为93.0%,B组为96.7%,C组为96.7%,三组比较差异无统计学意义(P>0.05);留置时间A组平均(1.5±0.14)d,B组平均(6.5±0.19)d,C组平均(138±4.03)d,三组比较差异有统计学意义(P<0.05);A组静脉炎发生8例,B组3例,C组1例,三组比较差异有统计学意义(P<0.05).结论 PICC导管为长期肠外营养支持的患者提供了一条无痛性治疗途径,对保证患者配合治疗,完成营养支持计划起到积极作用.
목적 비교3충불동정맥수액도경재장외영양중적효과.방법 장90례장기장외영양적환자수궤분위삼조,매조각30례,기중A조류치침、B조심정맥치관(CVC)、C조경외주천자적중심정맥도관(PICC)진행치관급약,병관찰장기치관적림상효과.결과 A조치관성공솔위93.0%,B조위96.7%,C조위96.7%,삼조비교차이무통계학의의(P>0.05);류치시간A조평균(1.5±0.14)d,B조평균(6.5±0.19)d,C조평균(138±4.03)d,삼조비교차이유통계학의의(P<0.05);A조정맥염발생8례,B조3례,C조1례,삼조비교차이유통계학의의(P<0.05).결론 PICC도관위장기장외영양지지적환자제공료일조무통성치료도경,대보증환자배합치료,완성영양지지계화기도적겁작용.
Objective To explore the nursing effects with three different means of intravenous infusion in parenteral nutrition (PN) application.Methods All the 90 long-term PN patients were divided into three groups randomly: A team was catheter-placement in peripheral vein (PV); B team was (central venous catheter CVC); C team was (peripherally inserted central catheter PICC). The clinical effect was observed by long-term PN in every 30 cases.Results In PV team the puncture success rate was 93.0%, In CVC team the puncture success rate was 96.7% , in PICC team the puncture success rate was 96.7% (P>0.05); In PV team, the average catheter-placement time was(1.5±0.14)days, in CVC team, the average catheter-placement time was(6.5±0.19)days, in PICC team, the average catheter-placement time was(138±4.03)days (P<0.05); In PV team, the phlebitis was 8 cases, In CVC team, the phlebitis was 3 cases, in PICC team, the phlebitis was 1 cases (P<0.05).Conclusions It was PICC that provided a painless treatment means for long-term parenteral nutritional support patients and played an active role in ensuring the compliance of patients and completing the nutritional support program.