两种方法拔除中心静脉导管对预防栓塞的效果比较  

Effects of two CVC extubation on prevention of thrombus

作　　者：钟巧玲[1] 蚁涵纯[1] 李传珍[1] 冯曲丽[1] 

机构地区：[1]中山大学肿瘤防治中心胸科1区,广东广州510060

出　　处：《现代临床护理》2012年第5期48-49,共2页Modern Clinical Nursing

摘　　要：目的比较两种方法拔除中心静脉导管(central venous catheter,CVC)对预防栓塞的效果。方法选择2010年10月～2011年9月本科室收治的300例留置CVC患者,随机分为实验组和对照组,每组各150例。对照组采用传统的方法拔除CVC,实验组在常规方法的基础上用20mL注射器抽吸10mL生理盐水,连接导管后一边回抽一边拔除CVC,比较两种方法拔除CVC后导管尾端附带血栓的发生率。结果实验组导管尾端附带血栓发生率低于对照组(P<0.05)。结论 采用一边回抽一边拔管的方法拔除CVC能有效将体内的血栓带出体外,起到预防拔管后出现栓塞的效果,可保证患者拔管后安全,值得临床推广应用。Objective To compare the effects of two CVC withdrawing methods on prevention of embolism. Methods A prospective randomized controlled trial was conducted. 200 patients with CVC from October 2010 to September 201l were recruited and randomized to the experiment group and the control group equally. After routine disinfection, the CVC of experiment group were withdrawn and at the same time the physiological saline was injected into CVC. In the control group the conventional method was used. Thrombosis rates after extubation at the tube end by the two methods were compared. Result The thrombosis rate of the experiment group was lower than that of the control group （P 〈 0.05）. Conclusion Extubation of the CVC plus simuhaneous injection of physiological saline may help to reduce thrombosis.

关 键 词：中心静脉导管 血栓 栓塞 拔管 护理 

分 类 号：R472[医药卫生—护理学]