CAJ | 학술논문

目的：探讨两种方法治疗经外周静脉穿刺置入中心静脉导管（peripherally inserted central catheter，PICC）所致局部湿疹效果及总结护理要点。方法将40例PICC置管后发生湿疹患者随机分为对照组和实验组，每组各20例。对照组患者采用庆大霉素加地塞米松混合液湿敷后加IV3000透明敷料固定PICC；实验组患者采用庆大霉素加地塞米松混合液湿敷后加银离子抗菌敷料固定PICC。比较两组患者治疗效果及治愈时间。结果实验组患者治疗效果明显优于对照组，治愈时间明显短于对照组（均P＜O．01）。结论庆大霉素加地塞米松混合液湿敷联合银离子敷料治疗PICC所致局部湿疹疗效确切，方法简单。
목적：탐토량충방법치료경외주정맥천자치입중심정맥도관（peripherally inserted central catheter，PICC）소치국부습진효과급총결호리요점。방법장40례PICC치관후발생습진환자수궤분위대조조화실험조，매조각20례。대조조환자채용경대매소가지새미송혼합액습부후가IV3000투명부료고정PICC；실험조환자채용경대매소가지새미송혼합액습부후가은리자항균부료고정PICC。비교량조환자치료효과급치유시간。결과실험조환자치료효과명현우우대조조，치유시간명현단우대조조（균P＜O．01）。결론경대매소가지새미송혼합액습부연합은리자부료치료PICC소치국부습진료효학절，방법간단。
ObjectiveTo explore the effectiveness of two ways in the treatment of peripherally inserted central catheter (PICC)-related eczema.Methods Fourty patients with PICC-related eczema were randomly assigned to control group and experiment group.Both were treated by wet dressing with gentamicin and dexamethasone mixture.Differently,the PICCs in the control group were fixed with IV3000 transparent dressing,while those were fixed with silver ions wound dressings in the latter.They were prepared in terms of curative effect and healing time.Result The cure rate in the experiment group was significantly higher than that of the control group (P<0.01) and the healing time was significantly shorter (P<0.01).Conclusion The silver ions wound dressing combined with gentamicin and dexamethasone mixture in the treatment of PICC-related eczema is effective and simple.