PICC置管在重症监护室中临床应用与护理分析.docVIP

PICC置管在重症监护室中临床应用与护理分析 　　[摘要] 目的 探讨重症监护室中PICC置管的临床应用与护理方法。 方法 选取于2013年5月～2015年5月我院重症监护室接受PICC置管的患者共60例。回顾性分析患者的临床资料，研究PICC置管的方法及其护理方法。 结果 一次性置管成功率为95.0%，置管成功率为100%；穿刺后并发症发生率为10.0%，其中，机械性静脉炎患者1例，占1.7%，导管堵塞患者2例，占3.3%，导管移位或脱出患者3例，占5.0%。经适当护理后，并发症情况均得到显著改善。 结论 PICC置管在重症监护室中的应用能够迅速为患者建立一条静脉通道，降低反复穿刺的痛苦，保障输液的安全性，提升护理工作的效率及质量，值得推广。 　　[关键词] PICC置管；重症监护室；临床应用；护理 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2015）16-109-03 　　Clinical application of PICC catheter in the intensive care unit and nursing analysis 　　MA Xiaowei1 SHI Hong2 LIU Yan1 LIU Rui1 XIU Yanli3 XIA Juan1 　　1.ICU，Hongqi Hospital，Mudanjiang Medical University，Mudanjiang 157011，China；2.Department of Hematology，Hongqi Hospital，Mudanjiang Medical University，Mudanjiang 157011，China；3.Department of Chest urgery，Hongqi Hospital，Mudanjiang Medical University，Mudanjiang 157011，China 　　[Abstract] Objective To explore the clinical application of PICC catheter in the intensive care unit and nursing methods. Methods 60 patients who were treated by PICC from May 2013 to May 2015 in intensive care unit，were selected.The clinical data of patients were retrospectively analyzed.The method and nursing method of PICC tube were studied. Results One-time success rate of catheter was 95.0%，and the success rate of catheter was 100%.The postoperative complication rate was 10%，among them，1 patient with mechanical phlebitis，accounting for 1.7%，2 patients with catheter jam，accounting for 3.3%，3 patients with catheter migration or out，accounting for 5.0%.The complications were significantly improved by appropriate nursing care. Conclusion The application of PICC in the intensive care unit can quickly establish a route for the patients，reduce stinging pain repeatedly，guarantee the safety of transfusion，and improve the efficiency and quality of nursing work.It is worth promoting. 　　[Key words] PICC catheter；Intensive care unit；Clinical application；Nursing 　　重症监护室的患者往往病情较重，需要采用多种药物治疗，且输液时间往往较长，抢救过程中需要为患者快速建立相应的静脉通路，并为患者泵入多种血管活性药物，经外周输液