贴膜外压迫法预防新生儿PICC置管后穿刺点渗血的效果观察  

Effect observation of external compression method on preventing bleeding at puncture point after PICC catheterization in newborns

作　　者：郭舒文[1] 张秀虹 林娟斌 戴冬凰 余小琴 GUO Shuwen;ZHANG Xiuhong;LIN Juanbin;DAI Donghuang;YU Xiaoqin(Zhangzhou Municipal Hospital of Fujian Province,Fujian 363000 China)

机构地区：[1]福建省漳州市医院,福建363000

出　　处：《循证护理》2024年第11期1970-1973,共4页Chinese Evidence-Based Nursing

摘　　要：目的:探讨贴膜外压迫法预防新生儿经外周静脉置入中心静脉导管(PICC)置管后穿刺点渗血的效果。方法:选取2021年9月1日—2022年6月30日在相同治疗组接受PICC置管治疗符合纳入标准的118例新生儿为研究对象,采用摸球法随机分为对照组和试验组,各59例。试验组采用PICC穿刺后贴膜外压迫穿刺点;对照组采用PICC穿刺后贴膜内压迫穿刺点。比较两组患儿穿刺后7 d内更换贴膜的次数、穿刺点24 h渗血率、渗血持续时间及并发症发生情况等。结果:试验组7 d内贴膜更换次数较对照组少,穿刺点24 h渗血率及渗血持续时间低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:贴膜外压迫法能较好地降低PICC置管后穿刺点渗血率及渗血时间,提高护理质量及工作效率。Objective:To explore the effect of external compression with a patch on preventing bleeding at the puncture point after peripherally inserted central catheters(PICC)in newborns.Methods:118 newborns who received PICC catheterization treatment in the same treatment group from September 1,2021 to June 30,2022 and met the inclusion criteria were randomly divided into a control group and an experimental group using the touch ball method,with 59 cases in each group.The experimental group used PICC puncture followed by external pressure of the patch on the puncture site;the control group was treated with PICC puncture followed by compression of the puncture site within the patch.Compare the number of times the patch was replaced,the 24 h bleeding rate at the puncture site,the duration of bleeding,and the incidence of complications between two groups of pediatric patients within 7 days after puncture.Results:The number of patch replacements within 7 days in the experimental group was lower than that in the control group,and the 24 h bleeding rate and duration at the puncture point were lower than those in the control group,with statistically significant differences(P<0.05);There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:The external compression method with patch can effectively reduce the bleeding rate and time at the puncture point after PICC catheterization,and improve nursing quality and work efficiency.

关 键 词：新生儿 经外周静脉置入中心静脉导管 贴膜压迫法 渗血 并发症 护理 

分 类 号：R47[医药卫生—护理学]