中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
11期
1345-1346,1347
,共3页
护理%经外周穿刺中心静脉导管(PICC)%银离子藻酸盐抗菌敷料%血液病患者
護理%經外週穿刺中心靜脈導管(PICC)%銀離子藻痠鹽抗菌敷料%血液病患者
호리%경외주천자중심정맥도관(PICC)%은리자조산염항균부료%혈액병환자
Nursing%Peripherally inserted central catheter (PICC)%Alginate dressing with silver%Agranulocytosis patient
目的：观察银离子藻酸盐抗菌敷料（银离子敷料）用于血液病患者PICC置管穿刺点的临床效果。方法将76例PICC术后患者随机分为观察组39例和对照组37例，观察组采用银离子敷料置于穿刺点，对照组采用无菌纱布置于穿刺点。比较两组患者穿刺点处切口感染发生率、穿刺点处切口愈合前换药次数及加压时间。结果观察组加压时间为（2．77±1．27）d，无红肿热痛患者，PICC全部保留；对照组患者加压时间为（4．51±1．41）d，有1例患者发生红肿热痛症状，PICC全部保留，两组患者加压时间比较，差异有统计学意义（t＝-5．687，P＜0．05）。观察组换药次数为（2．74±0．99）次，对照组换药次数为（4．73±1．41）次，两组比较差异有统计学意义（ t＝-7．140，P＜0．05）。结论使用银离子敷料可以减少血液病患者行PICC置管术后穿刺点处切口愈合前换药次数和加压时间，加速切口愈合。
目的：觀察銀離子藻痠鹽抗菌敷料（銀離子敷料）用于血液病患者PICC置管穿刺點的臨床效果。方法將76例PICC術後患者隨機分為觀察組39例和對照組37例，觀察組採用銀離子敷料置于穿刺點，對照組採用無菌紗佈置于穿刺點。比較兩組患者穿刺點處切口感染髮生率、穿刺點處切口愈閤前換藥次數及加壓時間。結果觀察組加壓時間為（2．77±1．27）d，無紅腫熱痛患者，PICC全部保留；對照組患者加壓時間為（4．51±1．41）d，有1例患者髮生紅腫熱痛癥狀，PICC全部保留，兩組患者加壓時間比較，差異有統計學意義（t＝-5．687，P＜0．05）。觀察組換藥次數為（2．74±0．99）次，對照組換藥次數為（4．73±1．41）次，兩組比較差異有統計學意義（ t＝-7．140，P＜0．05）。結論使用銀離子敷料可以減少血液病患者行PICC置管術後穿刺點處切口愈閤前換藥次數和加壓時間，加速切口愈閤。
목적：관찰은리자조산염항균부료（은리자부료）용우혈액병환자PICC치관천자점적림상효과。방법장76례PICC술후환자수궤분위관찰조39례화대조조37례，관찰조채용은리자부료치우천자점，대조조채용무균사포치우천자점。비교량조환자천자점처절구감염발생솔、천자점처절구유합전환약차수급가압시간。결과관찰조가압시간위（2．77±1．27）d，무홍종열통환자，PICC전부보류；대조조환자가압시간위（4．51±1．41）d，유1례환자발생홍종열통증상，PICC전부보류，량조환자가압시간비교，차이유통계학의의（t＝-5．687，P＜0．05）。관찰조환약차수위（2．74±0．99）차，대조조환약차수위（4．73±1．41）차，량조비교차이유통계학의의（ t＝-7．140，P＜0．05）。결론사용은리자부료가이감소혈액병환자행PICC치관술후천자점처절구유합전환약차수화가압시간，가속절구유합。
Objective To observe the clinical effect of alginate dressing with silver ( sliver ions dressing) on puncture site of PICC catheter in agranulocytosis patients .Methods Seventy-six cases of agranulocytosis patients after PICC were randomly divided into the observation group ( n=39 ) and the control group (n=37).The observation group received alginate dressing with silver on puncture site , while the control group was given sterile gauze on puncture site .Infection incidence , times of dressing change and pressure days were compared between two groups .Results The pressure days in the observation group was (2.77 ±1.27)d and there was no cases of swell or pain .The pressure days was (4.51 ±1.41)d and there was one case of swell and pain in the control group .The difference of pressure days was statistically significant ( t=-5.687,P<0.05).The times of dressing change was (2.74 ±0.99) in the observation group and (4.73 ±1.41) in the control group, with a statistically significant difference (t =-7.140,P <0.05).Conclusions Alginate dressing with silver on puncture site of PICC catheter for agranulocytosis patients can reduce the time of dressing change and pressure days , and accelerate their healing .
