不同敷料应用于肿瘤患者PICC置管后静脉炎的临床观察

目的：探讨肿瘤患者行PICC置管后应用不同敷料发生静脉炎的概率。方法：将186例肿瘤患者分为两组均采用PICC置管,置管后观察组（101例）采用无菌纱布固定穿刺部位,对照组（85例）用一次性3M无菌透明敷贴固定穿刺部位。留置时间内观察比较两组静脉炎的发生。结果：采用无菌纱布固定穿刺部位组与使用一次性3M无菌透明敷贴组比较,无菌纱布组留置时间长,静脉炎发生率小（P〈0.01）,差异有统计学意义。结论：采用无菌纱布固定穿刺部位优于一次性3M无菌透明敷贴组。

The Clinical Observation of Two Dressing Applied to Cancer Patients with Phlebitis Caused by PICC Intubation

Objective： To discuss the probability of phlebitis in caneer patients who apply different dressings after PICC intubation. Methods： Will be 186 cancer patients were divided randomly into two groups, have adopted after PICC intubation, experimental group using sterile gauze fixed puncture site after PICC intubation, the control group using disposable 3M sterile transparent fixed puncture site after PICC intubation. Observing the occurrence of phle- bitis in the two groups in dwelling time. Results：Campared to the group using disposable 3M sterile transparent fixed puncture site after PICC intubation, the sterile gauze group detain PICC tube a long time and on small incidence of phlebitis（p〈0.01）have a remarkable stastistics significance. Conclusion：Use of sterile gauze puncture site is better than use disposable 3M sterile transparent fixed puncture site after PICC intubation.