青鹏软膏辅助自我观察护理对改良塞丁格技术行PICC置管后机械性静脉炎的影响研究
|
摘要
目的:观察超声引导下改良塞丁格技术行经外周静脉置入中心静脉导管(PICC)置管术患者采用青鹏软膏辅助自我观察护理预防置管后机械性静脉炎的效果。方法:106例行PICC置管术住院患者均行超声引导下改良塞丁格技术,将患者随机分为2组各53例,对照组给予常规健康教育及自我观察护理,干预组在对照组基础上用青鹏软膏进行外涂。比较2组患者机械性静脉炎、血栓形成、周围组织水肿的发生情况及血管壁厚度等差异。结果:2组置管后1天机械性静脉炎、微血栓形成和组织水肿发生率比较,差异无统计学意义(P> 0.05);干预组置管后3天机械性静脉炎、微血栓形成和组织水肿发生率较对照组均降低(P <0.05)。干预组置管后3天微血栓形成、组织水肿发生率较置管后1天下降(P <0.05)。2组置管前血管壁厚度比较,差异无统计学意义(P> 0.05);2组置管后3天血管壁厚度较置管前均增加,但干预组较对照组明显减少(P <0.05)。结论:超声引导下改良塞丁格技术行PICC置管术患者采用青鹏软膏辅助自我观察护理对置管后机械性静脉炎具有良好的预防效果,亦能够有效降低微血栓和周围组织水肿的发生率,无全身不良反应,具有良好的安全性。
Objective:To observe the clinical effect of Qingpeng ointment assisting self-observation nursing in preventing mechanical phlebitis in patients undergoing peripherally inserted central catheter(PICC) by ultrasound-guided modified Seldinger technique. Methods: 106 cases of hospitalized patients who underwent PICC by ultrasound-guided modified Seldinger technique were divided into two groups randomly,53 cases in each group. The control group received the routine health education and self-observation nursing,while the intervention group additionally received the external application of Qingpeng ointment. Compared the occurrence of mechanical phlebitis,thrombosis and edema in surrounding tissues and such difference as the thickness of vascular wall in both groups. Results:After tube insertion for 1 day,comparing the incidence of mechanical phlebitis,thrombosis and edema in surrounding tissues in both groups,there was no significant difference being found(P > 0.05);after tube insertion for 3 days,the incidence of mechanical phlebitis,thrombosis and edema in surrounding tissues in the intervention group was respectively lower than that in the control group(P < 0.05). After tube insertion for 3 days, the incidence of mechanical phlebitis,thrombosis and edema in surrounding tissues in the intervention group was respectively lower than that after tube insertion for 1 day(P < 0.05). Before tube insertion,comparing the thickness of vascular wall in both groups,there was no significant difference being found(P > 0.05);after tube insertion for 3 days,the thickness of vascular wall in both groups in both groups was higher than that before tube insertion,but the thickness of vascular wall in the intervention group was significantly lower than that in the control group(P < 0.05).Conclusion:Qingpeng ointment assisting self-observation nursing has good effect in preventing mechanical phlebitis in patients undergoing PICC by ultrasound-guided modified Seldinger technique. It can also effectively reduce the incidence of microthrombus and edema in surrounding tissues with high safety and no general adverse reactions.
Objective:To observe the clinical effect of Qingpeng ointment assisting self-observation nursing in preventing mechanical phlebitis in patients undergoing peripherally inserted central catheter(PICC) by ultrasound-guided modified Seldinger technique. Methods: 106 cases of hospitalized patients who underwent PICC by ultrasound-guided modified Seldinger technique were divided into two groups randomly,53 cases in each group. The control group received the routine health education and self-observation nursing,while the intervention group additionally received the external application of Qingpeng ointment. Compared the occurrence of mechanical phlebitis,thrombosis and edema in surrounding tissues and such difference as the thickness of vascular wall in both groups. Results:After tube insertion for 1 day,comparing the incidence of mechanical phlebitis,thrombosis and edema in surrounding tissues in both groups,there was no significant difference being found(P > 0.05);after tube insertion for 3 days,the incidence of mechanical phlebitis,thrombosis and edema in surrounding tissues in the intervention group was respectively lower than that in the control group(P < 0.05). After tube insertion for 3 days, the incidence of mechanical phlebitis,thrombosis and edema in surrounding tissues in the intervention group was respectively lower than that after tube insertion for 1 day(P < 0.05). Before tube insertion,comparing the thickness of vascular wall in both groups,there was no significant difference being found(P > 0.05);after tube insertion for 3 days,the thickness of vascular wall in both groups in both groups was higher than that before tube insertion,but the thickness of vascular wall in the intervention group was significantly lower than that in the control group(P < 0.05).Conclusion:Qingpeng ointment assisting self-observation nursing has good effect in preventing mechanical phlebitis in patients undergoing PICC by ultrasound-guided modified Seldinger technique. It can also effectively reduce the incidence of microthrombus and edema in surrounding tissues with high safety and no general adverse reactions.
引文
[1]Park JY,Kim HL.A comprehensive review of clinical nurse specialist-led peripherally inserted central catheter placement in Korea:4101 cases in a tertiary hospital[J].J Infusion Nurs,2015,38(2):122-128.
[2]马丽军,朱翠敏,孙桂华,等.经外周中心静脉置管术与锁骨下静脉置管在肿瘤患者中的应用比较[J].河北医学,2016,22(1):63-65.
[3]谷小燕,吴平,周子琴,等.地塞米松在血管痉挛所致PICC送管困难中的作用[J].护理研究,2015,29(3C):1104-1107.
[4]程义仙.中西医结合预防经外周穿刺中心静脉导管置管后机械性静脉炎疗效观察[J].新中医,2016,48(3):77-78.
[5]Christensen LD,Holst M,Bech LF,et al.Comparison of complications associated with peripherally inserted central catheters and HickmanTMcatheters in patients with intestinal failure receiving home parenteral nutrition.Six-year follow up study[J].Clin Nutr,2016,35(4):912-917.
[6]宁玉萍,李晓燕,冯霞,等.七叶皂苷钠凝胶预防PICC并发机械性静脉炎的效果观察[J].护理学报,2015,22(16):63-65.
[7]王春萍,石义华.奇正青鹏软膏外用治疗七叶皂苷钠所致静脉炎疗效观察[J].护理学杂志,2015,30(3):37-38.
[8]宋宏,徐翔,龚文娟,等.青鹏软膏防治肿瘤化疗致静脉炎的疗效观察[J].中国药师,2016,19(10):1917-1919.
[2]马丽军,朱翠敏,孙桂华,等.经外周中心静脉置管术与锁骨下静脉置管在肿瘤患者中的应用比较[J].河北医学,2016,22(1):63-65.
[3]谷小燕,吴平,周子琴,等.地塞米松在血管痉挛所致PICC送管困难中的作用[J].护理研究,2015,29(3C):1104-1107.
[4]程义仙.中西医结合预防经外周穿刺中心静脉导管置管后机械性静脉炎疗效观察[J].新中医,2016,48(3):77-78.
[5]Christensen LD,Holst M,Bech LF,et al.Comparison of complications associated with peripherally inserted central catheters and HickmanTMcatheters in patients with intestinal failure receiving home parenteral nutrition.Six-year follow up study[J].Clin Nutr,2016,35(4):912-917.
[6]宁玉萍,李晓燕,冯霞,等.七叶皂苷钠凝胶预防PICC并发机械性静脉炎的效果观察[J].护理学报,2015,22(16):63-65.
[7]王春萍,石义华.奇正青鹏软膏外用治疗七叶皂苷钠所致静脉炎疗效观察[J].护理学杂志,2015,30(3):37-38.
[8]宋宏,徐翔,龚文娟,等.青鹏软膏防治肿瘤化疗致静脉炎的疗效观察[J].中国药师,2016,19(10):1917-1919.