喜辽妥加局部干热敷预防肿瘤患者PICC致机械性静脉炎研究.docVIP

喜辽妥加局部干热敷预防肿瘤患者PICC致机械性静脉炎研究 　　[摘要] 目的 观察喜辽妥加局部干热敷对肿瘤患者PICC致机械性静脉炎的预防作用。 方法 选取2012年9月～2014年11月本院收治行PICC置管肿瘤患者55例，将其随机分成对照组（24例）与研究组（31例）。全部患者均按照标准的操作程序进行PICC置入，研究组在置管成功后给予喜辽妥外涂，加局部干热敷，20～30 min/次，2次/d，持续3 d。对照组给予常规护理，观察统计两组患者机械性静脉炎的发生率。 结果 研究组静脉炎的发生率为3.2%，对照组为20.8%，差异有统计学意义（P0.05）。 结论 喜辽妥加局部干热敷对肿瘤患者PICC所致静脉炎有预防作用。 　　[关键词] 喜辽妥；干热敷；PICC；机械性静脉炎 　　[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721（2015）05（c）-0173-03 　　[Abstract] Objective To observe the preventive effect of polysaccharide sulfate cream combined with dry and hot compress in mechanical phlebitis caused by PICC in cancer patients. Methods Fifty-five tumor patients undergone PICC in our hospital from September 2012 to November 2014 were selected and randomly divided into control group（n=24） and research group（n=31）.All participants were imbedded with PICC following standard operating procedures.In research group，when catheterization was successful，polysaccharide sulfate cream was externally applied，and hot water was poured into double-end empty infusion bag for local dry and hot compress.Each time lasted 20 to 30 minutes，twice per day for 3 consecutive days.In control group，regular nursing was provided.The incidence of mechanical phlebitis between two groups was observed and calculated. Results The incidence of phlebitis in research group was 3.2%，while in control group，the incidence was 20.8%，with statistical difference（P0.05）. Conclusion Polysaccharide sulfate cream combined with local dry and hot compress plays preventive effect on phlebitis caused by PICC in cancer patients. 　　[Key words] Polysaccharide sulfate cream；Dry and hot compress；Peripherally inserted central catheter（PICC）；Mechanical phlebitis 　　PICC是经外周静脉插入的中心静脉导管，于20世纪80年代被全球广泛应用，90年代初在中国大陆引进。其操作较为简单，使用安全，便于长期留置，能够防止患者由于输注强刺激性、高浓度药物或长期输液对血管造成的损害，减轻因多次静脉穿刺引起的痛苦，保证治疗的顺利进行。PICC导管头部定位于上腔静脉，上腔静脉回心血量为2500 ml/min，外周静脉血流量为1 ml/min[1]。其血流量较大，可快速降低药物浓度与液体渗透压，对行肿瘤化疗的患者较为适合。有研究报道显示，机械性静脉炎是PICC最主要的并发症，发生率达15.15%～25.00%[2]。本研究探讨喜辽妥加局部干热敷预防PICC致机械性静脉炎的作用。 　　1