弹力粘贴绷带在超声引导下塞丁格技术PICC置管后穿刺点渗血中的应用  

The application of elastic pasting bandage for puncture point errhysis after peripherally inserted central catheter using seldinger technique with beside ultrasound

作　　者：胡华琼[1] 刘爱华[1] 

机构地区：[1]湖北省襄阳市中心医院,襄阳市441021

出　　处：《护理实践与研究》2016年第3期129-130,共2页Nursing Practice and Research

摘　　要：目的:探讨超声引导下塞丁格技术PICC置管后穿刺点渗血的有效止血方法,避免拆除侧肢体肿胀,并提高患者舒适度。方法:将60例超声引导下塞丁格技术PICC置管成功患者随机等分为观察组和对照组。在常规固定的基础上,观察组由置管护士采用弹力粘贴绷带加压固定穿刺点止血2 h,而对照组则用传统方法将1袋500 ml液体置于穿刺点处30 min。比较两组患者止血效果及血管并发症发生情况。结果:观察组穿刺点止血效果优于对照组(P<0.05),观察组患者血管并发症中皮下瘀斑发生率低于对照组(P<0.05)。结论:弹力粘贴绷带可有效防止超声引导下塞丁格技术PICC置管后穿刺点渗血,并能减少并发症发生率,提高患者舒适度。Objective：To discuss the effective hemostasis method for puncture point errhysis after peripherally inserted central catheter using Seldinger technique with beside ultrasound to avoid the dismantled side limb swelling and improve patients＇ comfort. Methods：Sity successful cases of patients under PICC with seldinger technique the beside ultrasound were randomly divided into observation group and control group. On the basis of conventional fixation, for ob- servation group the catheter - inserting nurses used elastic pasting bandage to compress on the puncture fixed point for hemostasis for 2 hours, while for the comparison group the nurse put one bag of 500 ml liquid at the puncture point for 30 minutes with traditional approach. Then compare two groups of patients for their hemostatic effect and blood vascular complications. Results ： The puncture point hemostatic effect of observation group was better than that of control group （P 〈 0.05 ）, the vascular complication subcutaneous ecchymosis occurrence rate of the observation group was lower than that of the control group （ P 〈 0.05 ）. Conclusion ： Elastic pasting bandages can effectively prevent puncture point errhysis after PICC using Seldinger technique with beside ultrasound so as to reduce the complications and improve patients＇ comfort.

关 键 词：弹力粘贴绷带 PICC置管 穿刺点渗血 

分 类 号：R472[医药卫生—护理学]