经外周置入中心静脉导管并发症的分析和护理

目的 探讨患者使用外周置入中心静脉导管(PICC)相关并发症及护理策略.方法 选取我院PICC患者98例进行留置.采用百分比的统计学方法对研究结果进行分析.结果 留置PICC的98例患者全部穿刺成功,其中无并发症发生例数86例,其占总数的87.76%;静脉炎5例,发生率5.10%;导管堵塞2例,发生率2.04%;静脉血栓形成2例,发生率2.04%;穿刺点感染1例,发生率1.02%;穿刺点渗血2例,发生率2.04%;留置导管最长时间286 d,最短7 d.结论 PICC是一种可行的易操作、有效的、安全的置管方法,保留时间长,在使用过程中应严格执行无菌操作,加强置管后的观察和护理,以提高PICC导管使用安全性.

Nursing and analysis for complication of PICC

Objective To study the causes and nursing measures of the complications of peripherally inserted central catheters (PICC)in hospitalized patients.Methods There were 98 patients with PICC in our hospital who were observed.Then the results were analyzed with the method of percentage statistic.Results These patients were taken successful puncture operation,among of them 86 cases without complication,occupying 87.76% of total amount;5 cases with phlebitis,affecting 5.10%;2 cases with catheter block,affecting 2.04%;2 cases with venous thrombosis,affecting 2.04%;1 case with infection at the puncture spot,affecting 1.02%;2 cases with bleeding at puncture spot,affecting 2.04%.The catheter was kept in patients'body at most 286 days,at least 7 days.Conclusions PICC is an easy-operative,effective,safe insertion catheter method and long time indwelling,PICC has been widely used in patients.To improve safety,the nursing strategies should be strictly sterile operation and careful observation and nursing.