经外周静脉置入中心静脉导管置管后静脉炎发生率的研究及护理对策  

Study on incidence of phlebitis in patients with PICC through peripheral vein and its nursing effect

作　　者：梅丽娜[1] 杨明玉[1] 焦保云[1] 赵雪[2] 

机构地区：[1]解放军总医院骨五科,北京100853 [2]解放军总医院骨科八病区,北京100853

出　　处：《中华现代护理杂志》2009年第11期1030-1031,共2页Chinese Journal of Modern Nursing

摘　　要：目的观察经外周静脉置入中心静脉导管（PICC）置管的病人静脉炎的发生率及发生静脉炎后治疗效果，有效地减轻病人的痛苦。方法对60例PICC置管病人分为3组，3组分别选择贵要静脉、正中静脉、头静脉的血管置入三向瓣膜式PICC管，评估静脉炎的发生概率及治疗效果，对结果进行统计分析。结果贵要静脉20例置管病人中，发生静脉炎2例，全部治愈；正中静脉20例置管病人中，发生静脉炎3例，全部治愈；头静脉20例置管病人中，发生静脉炎11例，9例治愈，2例被迫拔管。结论头静脉PICC置管的病人静脉炎发生率最高、治疗时间最长、治愈率最低，减少头静脉置管可以减少静脉炎的发生及减轻病人的痛苦。Objective To observe the incidence of phlebitis in patients with PICC through peripheral vein and its nursing effect, in order to alleviate the patients＇ suffering. Methods The 60 volunteers were divided into three groups randomly, who were received PICC through basilic vein, vena mediana and cephalic vein, the incidence of of phlebitis and therapeutic efficacy were analyzed. Results 2 patients appeared phlebitis in 20 cases received PICC through basilic vein, 3 patients in 20 cases through cubital vein, and all cured ; 11 patients in 20 cases through cephalic vein, while 9 patients were cured and 2 patients were detubated in cephalic vein group. Conclusions It＇ s suggested that the prevalence of phlebitis with PICC through cephalic vein is high, with long treat time and low cure rate. It＇ s likely to reduce the phlebitis occurrence and patients relief from pain through cephalic vein.

关 键 词：经外周静脉置入中心静脉导管 外周静脉 静脉炎 

分 类 号：R473.73[医药卫生—护理学]