治疗间歇期PICC封管液效果的探讨
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摘要
目的研究PICC置管病人在治疗间歇期用生理盐水与肝素稀释液对经外周置入中心静脉导管(PICC)后静脉血栓的预防效果。方法将门诊留置PICC管的病人随机分成两组,分别采用生理盐水与肝素稀释液脉冲式正压封管。结果两种封管液对静脉血栓的预防效果无明显差异,生理盐水组血栓形成率稍高于肝素稀释液组(P>0.05)。结论低浓度肝素液封管和生理盐水封管对静脉血栓预防无明显差别。
Objective To study the preventive effect of saline and heparin dilution on venous thrombosis after peripheral central venous catheter(PICC) placement in patients with PICC during treatment interval. Methods Outpatient patients with PICC tube were randomLy divided into two groups, using normal saline and heparin diluent pulse positive pressure sealing tube. Results There was no significant difference between the two kinds of sealing fluid in the prevention of venous thrombosis. The thrombosis rate in saline group was slightly higher than that in heparin group(P>0.05). Conclusion There is no significant difference in the prevention of venous thrombosis between low concentration heparin solution and saline solution.
Objective To study the preventive effect of saline and heparin dilution on venous thrombosis after peripheral central venous catheter(PICC) placement in patients with PICC during treatment interval. Methods Outpatient patients with PICC tube were randomLy divided into two groups, using normal saline and heparin diluent pulse positive pressure sealing tube. Results There was no significant difference between the two kinds of sealing fluid in the prevention of venous thrombosis. The thrombosis rate in saline group was slightly higher than that in heparin group(P>0.05). Conclusion There is no significant difference in the prevention of venous thrombosis between low concentration heparin solution and saline solution.
引文
[1]贾俊枝,张玉蓉,郭红.PICC置管两种封管液对预防静脉血栓的对比研究[J].中国卫生标准管理,2016,7(14):122-123.
[2]曾丽吟,吴燕妮.两种不同封管液预防PICC血栓形成和导管堵塞效果的Meta分析[J].护理研究,2013,27(12):1146-1147.
[3]彭敏.预防PICC留置导管堵塞的护理对策[J].昆明医学院学报,2006,4(11):205-206.
[4]肖彩琼,李秋梅,范育英,等.PICC置管两种封管液对预防静脉血栓的对比研究[J].全科护理,2007,5(9):1-2.
[5]李旭英,谌永毅,袁忠,等.对PICC导管使用不同封管液封管的效果研究[J].激光生物学报,2014,23(4):369-373.
[6]史广玲,刘夕珍,谈玲.不同浓度肝素封管液用于PICC封管的效果[J].中华现代护理杂志,2011,17(30):3649-3650.
[7]韦小乐,赵翠松,凌瑛,等.家属参与护理模式在病人PICC置管治疗间歇期维护中的应用研究进展[J].全科护理,2016,14(27):2829-2831.
[8]魏美霞,王咏梅.不同浓度肝素用于化疗患者PICC封管的效果观察[J].临床医学工程,2016,23(8):1115-1116.
[9]刘琼玲,高竹林.PICC治疗间歇期堵管原因分析及防治对策[J].护理学报,2012,19(23):54-56.
[10]罗红玉,王仿华.肿瘤患者PICC两种封管方法预防堵管效果观察[J].海南医学,2016,27(5):851-853.
[2]曾丽吟,吴燕妮.两种不同封管液预防PICC血栓形成和导管堵塞效果的Meta分析[J].护理研究,2013,27(12):1146-1147.
[3]彭敏.预防PICC留置导管堵塞的护理对策[J].昆明医学院学报,2006,4(11):205-206.
[4]肖彩琼,李秋梅,范育英,等.PICC置管两种封管液对预防静脉血栓的对比研究[J].全科护理,2007,5(9):1-2.
[5]李旭英,谌永毅,袁忠,等.对PICC导管使用不同封管液封管的效果研究[J].激光生物学报,2014,23(4):369-373.
[6]史广玲,刘夕珍,谈玲.不同浓度肝素封管液用于PICC封管的效果[J].中华现代护理杂志,2011,17(30):3649-3650.
[7]韦小乐,赵翠松,凌瑛,等.家属参与护理模式在病人PICC置管治疗间歇期维护中的应用研究进展[J].全科护理,2016,14(27):2829-2831.
[8]魏美霞,王咏梅.不同浓度肝素用于化疗患者PICC封管的效果观察[J].临床医学工程,2016,23(8):1115-1116.
[9]刘琼玲,高竹林.PICC治疗间歇期堵管原因分析及防治对策[J].护理学报,2012,19(23):54-56.
[10]罗红玉,王仿华.肿瘤患者PICC两种封管方法预防堵管效果观察[J].海南医学,2016,27(5):851-853.