CAJ | 학술논문

目的探讨外周静脉穿刺置入中心静脉导管在重度慢性阻塞性肺疾病患者中的应用及观察有效护理方法.方法选取我院住院重度慢性阻塞性肺疾病患者为研究对象,每组各100例,使用PICC途径的为A组,使用外周静脉留置针的为B组.A组采用PICC技术置管的护理方法;B组采用外周静脉留置针置管的护理方法.比较两组患者的并发症、置管时间等情况.结果 A组一次性穿刺成功90例(90％),平均置管操作时间为(23.8±6.6)min,B组一次性穿刺成功92例(92％),平均置管操作时间为(5.5±2.8)min.主要并发症如静脉炎、感染、导管阻塞、导管脱落等,A组6例(6％)出现并发症,B组13例(13％)出现并发症.A组留管时间为(12±1.5)天,B组留管时间为(5±1.0)天.结论 PICC在重度慢性阻塞性肺疾病患者置管中具有较高的成功率,可有效减少穿刺并发症的发生率,值得临床应用.
목적 탐토외주정맥천자치입중심정맥도관재중도만성조새성폐질병환자중적응용급관찰유효호리방법.방법 선취아원주원중도만성조새성폐질병환자위연구대상,매조각100례,사용PICC도경적위A조,사용외주정맥류치침적위B조.A조채용PICC기술치관적호리방법;B조채용외주정맥류치침치관적호리방법.비교량조환자적병발증、치관시간등정황.결과 A조일차성천자성공90례(90％),평균치관조작시간위(23.8±6.6)min,B조일차성천자성공92례(92％),평균치관조작시간위(5.5±2.8)min.주요병발증여정맥염、감염、도관조새、도관탈락등,A조6례(6％)출현병발증,B조13례(13％)출현병발증.A조류관시간위(12±1.5)천,B조류관시간위(5±1.0)천.결론 PICC재중도만성조새성폐질병환자치관중구유교고적성공솔,가유효감소천자병발증적발생솔,치득림상응용.
Objective To explore the application use and nursing care of peripherally inserted central catheter in patients with moderate severe chronic obstructive pulmonary disease (COPD) and observe the effective methods of care.Methods In our hospital patients with severe COPD were selected as experimental subjects and divided into two groups,with 100 cases in each group,group A used PICC method,while a peripheral intravenous catheter was set to group B.Complications and the catheter time of the two groups were compared.Results The one-time puncture success rate was 90％ in group A using PICC,with the average indwelling catheter operation time as (23.8 ± 6.6) min,one-time puncture success rate in group B was 92％,with average indwelling catheter operation time as (5.5 ± 2.8) min.The main complications included phlebitis,infection,catheter block and catheter drop.6 cases found with complications in group A,while it was 13 cases in group B.And the indwelling catheter time of group A was (12 ± 1.5) days,while it was (5 ± 1.0) days in group B.Conclusion PICC application in patients with severe COPD catheter has high success rate,which can effectively reduce the incidence of complications of the puncture,worthy of clinical application.