静脉输液港植入患者非治疗期间维护间隔时间的研究  

Maintenance of interval time for intravenous infusion port implanted patients during off-treatment period

作　　者：苏金娜[1] 焦俊琴[1] 王建新[1] 王建平[1] 王伟娜[1] 张彦茹[2] 

机构地区：[1]河北医科大学第四医院东院乳腺中心,石家庄050035 [2]河北医科大学第四医院血液科,石家庄050035

出　　处：《中华现代护理杂志》2015年第16期1893-1895,共3页Chinese Journal of Modern Nursing

基　　金：2012年河北省医学科学研究重点课题（20120132）

摘　　要：目的：探讨静脉输液港植入患者在非治疗期间延长维护间隔时间对导管堵塞及感染的影响。方法选取输液港使用及维护期间次次抽回血好,推注导管通畅,并知情同意自愿加入本研究的输液港植入患者100例,采用随机数字表法分为研究组和对照组,每组各50例。对照组每4周维护一次,研究组每12周维护一次。对两组患者导管堵塞及输液港感染情况进行比较。结果两组患者72周中输液港维护均未出现导管完全堵塞、Ⅲ级导管部分堵塞及感染；两组患者均出现了Ⅰ、Ⅱ级导管部分堵塞,其中Ⅰ级导管部分堵塞研究组出现3次,对照组出现2次,两组比较差异无统计学意义（χ^2 =0.211, P〉0.05）,Ⅱ级导管部分堵塞研究组出现1次,对照组出现2次,两组比较差异无统计学意义（χ^2 =0.344,P〉0.05）。结论输液港植入患者非治疗期维护间隔时间长短与导管堵塞及感染并无明显的关系；12周维护一次患者更易于接受。Objective To explore the effect of maintenance of interval time on catheter blockage and infection for intravenous infusion port patients during the off-treatment time. Methods A total of 100 patients with implanted ports, who drew blood well every time, bolus fluently and had informed consent, were divided into experimental group and control group by random number table method on average. The maintenance carried once in the control group every 4 weeks, while it happened in the experimental group every 12 weeks. We compared the catheter blockage and infection between two groups. Results There had no catheter completely block,Ⅲ grade catheter block and infection in the two groups during the 72 weeks, but Ⅰand Ⅱ grade blockage happened. In the experimental group, there was 3 patients having I grade catheter block, and that of the control group was 2 with no statistically significant difference between two groups （χ^2 =0. 211,P〉0. 05）. In the experimental group, there was 1 patients hadⅡgrade catheter block, and that of the control group was 2 with no statistically significant difference between two groups （χ^2 =0. 344,P 〉0. 05）. Conclusions The intravenous infusion port patients had no correlation between the length of maintenance and blockage with infection. The maintenance carried once every 4 weeks is easily accepted for patients.

关 键 词：植入式静脉输液港 非治疗期间 导管维护 

分 类 号：R472[医药卫生—护理学]