PICC置管加温充气固定装置的设计和应用  

Design and application of heated inflatable fixation device in PICC placement

作　　者：曹兆铭 张会君 王迎春 Cao Zhaoming;Zhang Huijun;Wang Yingchun(College of Nursing,Jinzhou Medical University,Jinzhou 121000,China)

机构地区：[1]锦州医科大学护理学院,辽宁锦州121000 [2]锦州医科大学附属第一医院肿瘤内科

出　　处：《护理学杂志》2022年第20期57-60,共4页Journal of Nursing Science

基　　金：辽宁省教育厅科学技术项目(JYTJCZR2020085)。

摘　　要：目的探讨自主研发的加温充气固定装置在PICC置管中的应用效果。方法将428例拟行PICC置管术的肿瘤患者随机分为两组。对照组224例在超声引导下行PICC置管,干预组204例在此基础上,采用自制的加温充气固定装置行PICC置管。结果干预组一次穿刺成功率、一次置管成功率显著高于对照组,术中疼痛评分显著轻于对照组(均P<0.05)。干预组穿刺置管时间显著短于对照组,机械性静脉炎及导管相关性血流感染发生率显著低于对照组(均P<0.05)。结论PICC置管加温充气固定装置的应用可提高PICC置管效率,降低相关并发症发生率。Objective To explore the effect of using a self-invented heated inflatable fixation device in PICC placement.Methods A total of 428 patients to receive PICC placement were selected and randomly divided into 2 groups.The control group(n=224)received routine PICC placement under the guidance of ultrasonography,while the intervention group(n=204)additionally used a self-invented heated inflatable fixation device to secure the punctured arm during the procedure.Results The 1-puncture success rate,and 1-insertion success rate in the intervention group were significantly higher than those in the control group;the former group also reported less pain than the latter group(all P<0.05).The intervention group had shorter time in PICC placement,and lower incidence rates of mechanical phlebitis and catheter-related blood stream infection,than the controls(all P<0.05).Conclusion The usage of the heated inflatable fixation device improves the efficiency of PICC placement,and reduce the incidence of placement related complications.

关 键 词：肿瘤 外周静脉置入中心静脉导管 加温充气固定装置 置管方式 静脉炎 血栓 导管相关性血流感染 一次穿刺成功 

分 类 号：R471[医药卫生—护理学]