CAJ | 학술논문

目的：探讨PICC穿刺患者带管期间针眼发红与留置时间的关系。方法回顾性分析2008年9月15日～2010年1月29日在我院进行PICC穿刺导管维护的2551例次患者针眼发红情况。根据患者PICC导管的留置时间分为第1个月、第2个月、第3个月、第4个月、第5个月、第6个月、第7个月及以上，共计7个时间段，其PICC导管维护例次分别为：961、479、389、293、175、109、145例次。结果 PICC导管留置第1个月到第7个月及以上，针眼发红发生率分别为4．06％、3．13％、4．37％、7．85％、9．14％、5．5％、2．07％，针眼红发生率由高到低依次为第5个月、第4个月、第6个月、第3个月、第1个月、第2个月、第7个月及以上。PICC导管留置期间针眼红高发时间段分布在（107．7±7．7）d、（139．3±10．4）d、和（170．0±1．4）d。结论熟知PICC穿刺导管留置期间每个时期针眼发红的发生原因，针眼发红高发时间段强化病人宣教，督促遵医行为，加强换药及处理各类并发症，可防止局部感染血行扩散。
목적：탐토PICC천자환자대관기간침안발홍여류치시간적관계。방법회고성분석2008년9월15일～2010년1월29일재아원진행PICC천자도관유호적2551례차환자침안발홍정황。근거환자PICC도관적류치시간분위제1개월、제2개월、제3개월、제4개월、제5개월、제6개월、제7개월급이상，공계7개시간단，기PICC도관유호례차분별위：961、479、389、293、175、109、145례차。결과 PICC도관류치제1개월도제7개월급이상，침안발홍발생솔분별위4．06％、3．13％、4．37％、7．85％、9．14％、5．5％、2．07％，침안홍발생솔유고도저의차위제5개월、제4개월、제6개월、제3개월、제1개월、제2개월、제7개월급이상。PICC도관류치기간침안홍고발시간단분포재（107．7±7．7）d、（139．3±10．4）d、화（170．0±1．4）d。결론숙지PICC천자도관류치기간매개시기침안발홍적발생원인，침안발홍고발시간단강화병인선교，독촉준의행위，가강환약급처리각류병발증，가방지국부감염혈행확산。
Objective To study the relationship between the indwelling time and the situation on the aglow punc-ture spot among patients with peripherally inserted central catheter (PICC) maintenance .Method The clinical data on the aglow puncture spot among 2551 patients with PICC maintenance in our hospital from September 15 ,2008 to January 29 ,2010 were analyzed retrospectively .According to the indwelling time for patients with PICC ,a total of 7 time intervals including the first ,second ,third ,fourth ,fifth ,sixth ,seventh months and above are divided ,and there are 961、479、389、293、175、109、and 145 patients with PICC maintenance in every interval respectively .Result The incidences of the aglow puncture spot for patients with PICC duration are 4 .06% ,3 .13% ,4 .37% ,7 .85% , 9 .14% ,5 .5% and 2 .07% in the first ,second ,third ,fourth ,fifth ,sixth ,seventh months and above respectively . The incidences from high to low in order are in the fifth ,fourth ,sixth ,third ,first ,second ,seventh months and a-bove .The high incidences of the aglow puncture spot for patients with PICC duration are in (107 .7 ± 7 .7)d ,(139 . 3 ± 10 .4)d and(170 .0 ± 1 .4)d .Conclusion It's supposed to understand the reason of the aglow puncture spot in pa-tients with PICC duration in each period .And in the period with high incidences of the aglow puncture spot ,it is necessary to strengthen health education ,supervise the compliance behavior ,strengthen the treatment ,and deal with all kinds of complications ,and prevent local infection and hematogenous spread .