中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
3期
87-88,89
,共3页
肿瘤化疗%PICC置管%并发症
腫瘤化療%PICC置管%併髮癥
종류화료%PICC치관%병발증
Chemotherapy patients%Peripherally inserted central catheter%Complications
目的：探讨分析肿瘤化疗患者PICC置管后常见并发症及护理对策。方法：选取2011年6月-2013年6月在笔者所在医院化疗的肿瘤患者100例，随机平均分为对照组和观察组，对照组患者采用常规浅静脉化疗，观察组进行PICC置管化疗，比较两者患者出现的并发症情况以及静脉炎发生率，并分析原因和采取相应的护理干预措施。结果：观察组患者PICC置管全部成功，观察组患者穿刺化疗后，穿刺部位渗血2例，感染2例，接触性皮炎1例，导管堵塞2例，并发症发生率为14.0%。观察组静脉炎3例，发生率6.0%，对照组静脉炎11例，发生率22.0%，两组比较差异均有统计学意义(P<0.05)。结论：对肿瘤患者进行PICC置管，操作安全，成功率高，并发症和静脉炎发生率少；采取有效综合性护理措施，及时预防和治疗并发症，或可有效延长导管使用时间。
目的：探討分析腫瘤化療患者PICC置管後常見併髮癥及護理對策。方法：選取2011年6月-2013年6月在筆者所在醫院化療的腫瘤患者100例，隨機平均分為對照組和觀察組，對照組患者採用常規淺靜脈化療，觀察組進行PICC置管化療，比較兩者患者齣現的併髮癥情況以及靜脈炎髮生率，併分析原因和採取相應的護理榦預措施。結果：觀察組患者PICC置管全部成功，觀察組患者穿刺化療後，穿刺部位滲血2例，感染2例，接觸性皮炎1例，導管堵塞2例，併髮癥髮生率為14.0%。觀察組靜脈炎3例，髮生率6.0%，對照組靜脈炎11例，髮生率22.0%，兩組比較差異均有統計學意義(P<0.05)。結論：對腫瘤患者進行PICC置管，操作安全，成功率高，併髮癥和靜脈炎髮生率少；採取有效綜閤性護理措施，及時預防和治療併髮癥，或可有效延長導管使用時間。
목적：탐토분석종류화료환자PICC치관후상견병발증급호리대책。방법：선취2011년6월-2013년6월재필자소재의원화료적종류환자100례，수궤평균분위대조조화관찰조，대조조환자채용상규천정맥화료，관찰조진행PICC치관화료，비교량자환자출현적병발증정황이급정맥염발생솔，병분석원인화채취상응적호리간예조시。결과：관찰조환자PICC치관전부성공，관찰조환자천자화료후，천자부위삼혈2례，감염2례，접촉성피염1례，도관도새2례，병발증발생솔위14.0%。관찰조정맥염3례，발생솔6.0%，대조조정맥염11례，발생솔22.0%，량조비교차이균유통계학의의(P<0.05)。결론：대종류환자진행PICC치관，조작안전，성공솔고，병발증화정맥염발생솔소；채취유효종합성호리조시，급시예방화치료병발증，혹가유효연장도관사용시간。
Objective:To investigate and analyze common complications and nursing measures after tumor patients in chemotherapy PICC tube. Method:100 tumor chemotherapy patients from June 2011 to June 2013 in our hospital were randomly divided into the control group and the observation group, the control group was treated with conventional shallow vein chemotherapy,the observation group was treated with PICC catheter chemotherapy,the complications appeared in the patients and the incidence of phlebitis were compared in two groups,and the causes were analyzed and the nursing corresponding measures was intervened.Result:Observation group with PICC catheterization was successful in all patients after chemotherapy,for all,puncture site bleeding in 2 cases, infection in 2 cases,contact dermatitis in 1 case,catheter obstruction in 2 cases,the complication rate was 14.0%.3 cases of phlebitis incidence,taken for 6.0%,otherwise,for another group,11 cases of phlebitis,the incidence was 22.0%,the rate of phlebitis was significantly difference in two groups(P<0.05). Conclusion:Through the tumor treated by PICC catheter,it is available with safe operation,high success rate,and low complications and the incidence of phlebitis;in the meanwhile,taking effective comprehensive nursing measures,timely prevention and treatment of complications,maybe effectively prolong using time of catheter.
