两种封管方法对肿瘤患者PICC导管堵塞的应用效果研究  

Probe into the application effect of two methods of sealing tabe on cancer patients with PICC catheter blockage

作　　者：黄瑾[1] 潘玲玲[1] 周博[1] 

机构地区：[1]中国人民解放军海军总医院,100037

出　　处：《护理实践与研究》2012年第19期117-118,共2页Nursing Practice and Research

摘　　要：目的:探讨不同封管方法在肿瘤患者经外周置入中心静脉导管(PICC)封管的应用效果,以选择更好的封管方式。方法:将140例恶性肿瘤患者随机分为试验组、对照组各70例,对照组遵循SAS法(S生理盐水,A给药,S生理盐水),即在给药前后采用不含防腐剂的生理盐水10ml脉冲式正压封管;试验组遵循SASH法(S生理盐水,A给药,S生理盐水,H肝素盐水),即在对照组SAS法的基础上追加3 ml浓度为50 U/ml的肝素盐水。结果:试验组PICC堵管的发生率明显低于对照组(P<0.05)。结论:实施规范化导管维护,遵循SASH脉冲式正压封管法,能有效减少肿瘤患者PICC导管堵塞的发生率,为顺利完成治疗提供有利条件。Objective ： To investigate the different sealing methods in cancer patients with peripherally inserted central catheter （ PICC ） tube sealing effect, to choose the better sealing methods. Methods ： 140 cases of malignant tumor were randomly divided into the experimental group and the control group ,70 ca- ses in each group. The control group followed the SAS （ S saline, A dosage, S saline）, namely in the delivery before and after the use of preservative -free saline 10 ml pulse type positive pressure sealing, experimental group according to SASH method （ S saline, A dosage, S saline, H heparin saline）, that in group SAS method based on an additional 3ml concentration＇was 50 u/ml heparin saline. Results ：The experimental group PICC plugging rate was significant- ly lower than that of control group （ P 〈0.05 ）. Conclusion ：The implementation of standardized catheter maintenance,follow the SASH pulse type positive pressure sealing method, can effectively reduce the tumor patients with PICC catheter clogging rate, provide favorable conditions for the successful completion of treatment.

关 键 词：外周中心静脉置管术 导管堵塞 正压封管 

分 类 号：R472[医药卫生—护理学]