单手双腔同时封管在预防PICC堵管中的应用  

Application of one-hand double-lumen simultaneous locking technique in the prevention of occlusion using high pressure resistant double-lumen PICCs

作　　者：石芸[1] 郑亚萍[2] 郦艳[2] 赵玲玲[2] SHI Yun ZHENG Ya-ping LI Yan ZHAO Ling-ling

机构地区：[1]浙江大学医学院附属第二医院静脉输液专科,杭州市310009 [2]浙江大学医学院附属第二医院肿瘤科,杭州市310009

出　　处：《中华护理杂志》2017年第5期621-623,共3页Chinese Journal of Nursing

摘　　要：目的探讨单手双腔同时封管手法在减少双腔耐高压注射型PICC堵管中的应用效果。方法采用方便抽样法,选取73例患者作为试验组,采用单手双腔同时封管手法封管;选取66例患者作为对照组,采用常规封管方法封管。统计双腔耐高压注射型PICC导管的堵管发生率。结果试验组的不完全堵管率为8.22%,对照组为17.42%,试验组的完全堵管率为0,对照组为0.76%,两者比较,差异有统计学意义(P<0.05)。结论单手双腔同时封管手法具有操作简单、方便的优点,能有效预防双腔耐高压注射型PICC堵管的发生。Objective To explore the effects of application of one-hand double-lumen simultaneous locking technique on reduction of occlusion using high pressure resistant double-lumen PICCs. Methods Convenience sampling method was used to recruit 73 patients assigned into the experimental group,using one-hand double-lumen simultaneous locking technique;66 patients were assigned into the control group,using routine locking method. The rate of PICC occlusion was recorded. Results The rate of incomplete occlusion was 8.22% in the experimental group,and 17.42% in the control group,the rate of complete occlusion in the experimental group was 0,and 0.76% in the control group,and the difference was statistically significant（P〈0.05）. Conclusion The one-hand double-lumen simultaneous locking technique is easy and convenient to conduct. It can effectively reduce occlusion using high pressure resistant double-lumen PICCs.

关 键 词：导管插入术 外周 封管手法 堵管 护理 

分 类 号：R472.9[医药卫生—护理学]