| 个性化换药在经外周静脉插管的中心静脉导管患者中的应用 |
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| 引用本文： | 章春芝,薛志芳,宁风琴,李晓媛,付伟,刘昕. 个性化换药在经外周静脉插管的中心静脉导管患者中的应用[J]. 中国实用护理杂志, 2010, 26(31). DOI: 10.3760/cma.j.issn.1672-7088.2010.11.020 |
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| 作者姓名： | 章春芝 薛志芳 宁风琴 李晓媛 付伟 刘昕 |
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| 作者单位： | 河北北方学院第一附属医院外科,张家口,075000 |
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| 基金项目： | 河北省张家口市科技局项目 |
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| 摘 要： | 目的 探讨肿瘤患者应用经外周静脉插管的中心静脉导管(peripherally inserted central catheter,PICC)实施个性化换药的方法.方法 根据99例置管患者不同的体质、所处的季节,选择不同的换药方法,观察穿刺点局部皮肤的颜色及完整性.结果 实施个性化换药,99例患者除2例穿刺点周围皮疹主动要求拔管外,其余未发生局部皮肤感染及深静脉感染.结论 实施个性化换药,可降低局部感染率,延长置管时间,提高患者生存质量.
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| 关 键 词： | 经外周静脉插管的中心静脉导管 个性化 换药方法 感染 |
Application of individualized dressing change in patients with PICC |
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| ZHANG Chun-zhi,XUE Zhi-fang,NING Feng-qin,LI Xiao-yuan,FU Wei,LIU Xin. Application of individualized dressing change in patients with PICC[J]. Chinese Journal of Practical Nursing, 2010, 26(31). DOI: 10.3760/cma.j.issn.1672-7088.2010.11.020 |
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| Authors: | ZHANG Chun-zhi XUE Zhi-fang NING Feng-qin LI Xiao-yuan FU Wei LIU Xin |
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| Abstract: | Objective To study the application of individualized dressing change on tumor patients with PICC. Methods We made different methods of dressing change in accordance with the status of the patients and the seasons, and observed the color and the integrity of the local skin around the puncture points. Results With the exception of 2 cases requested extubation because of tetter on skin around the puncture point, the local skin infection or systemic infection didn't occur in the other 97 cases by individualized dressing change. Conclusions It can reduce the rate of local infection, extends time of catheter retaining, and improves quality of life of tumnor patients with PICC by individualized dressing change |
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| Keywords: | Peripherally inserted central catheter Individualized Dressing change Infection |
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