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贵要静脉穿刺PICC置管时减少远端异位的研究
引用本文:王凯,孙文彦,宋琦,王秀荣.贵要静脉穿刺PICC置管时减少远端异位的研究[J].中华现代护理杂志,2009,15(33):3480-3481.
作者姓名:王凯  孙文彦  宋琦  王秀荣
作者单位:中国医学科学院北京协和医院肠外肠内营养科,100730
摘    要:目的探讨减少贵要静脉穿刺PICC置管时的异位率,减轻患者痛苦。方法将225例癌症化疗需行PICC置管的患者随机分为两组,A组采用边推注生理盐水边送管的方式置管,B组采用常规方式置管。结果A组发生异位7例,异位率5.8%;B发生异位15例,异位率14.3%。两组比较X^2=4.535,P〈0.05,差异有统计学意义。结论边推注生理盐水边送管的方式可以减少异位率,减少患者的痛苦。

关 键 词:经外周静脉置入中心静脉导管  异位  护理

Study on displacement of far-end operated terminal of PICC dwelling via basilic vein
WANG Kai,SUN Wen-yan,SONG Qi,WANG Xiu-rong.Study on displacement of far-end operated terminal of PICC dwelling via basilic vein[J].Chinese Journal of Modern Nursing,2009,15(33):3480-3481.
Authors:WANG Kai  SUN Wen-yan  SONG Qi  WANG Xiu-rong
Institution:. (Department of Parenteral and Enteral Nutrition, Beijing union hospital, Belting 100730, China)
Abstract:Objective To explore the method of reducing the rate of displacement of far-end operated terminal of PICC dwelling via basilic vein. Methods A total of 225 cases received P1CC dwelling via basilic vein were divided into two groups: patients in A group were carried out by method of puncturing with Pushing normal saline, while those in group B only received routine method. Results There were 7 and 15 cases suffered from displacement in group A and B (5.8% vs 14.3%), the difference showed statistical significance.Conclusions The new method (puncturing with Pushing normal saline) is helpful to reduce displacement rate and reduce the patients'sufferings.
Keywords:Peripherally Inserted Central Catheter  Displacement  Nursing
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