肿瘤伴糖尿病患者行PICC置管并发症及护理体会.docVIP

肿瘤伴糖尿病患者行PICC置管并发症及护理体会 　　[摘要] 目的 通过分析肿瘤伴糖尿病患者行PICC置管后护理临床效果。方法 取2015年3月―2016年3月期间该院收治肿瘤伴糖尿病患者53例设对照组，分析并发症发生原因，总结护理体会。于2016年4月―2017年4月收治同类患者52例设实验组。观察并对比两组患者的血管堵塞、非计划拔管、静脉炎、静脉血栓形成、感染、PICC留置时间、对护理工作的评价、PICC导管的维护效果以及PICC对日常生活影响等指标。结果 实验组血管堵塞、非计划拔管、静脉炎、感染发生率明显低于对照组，且PICC留置时间、护理、导管维护效果以及PICC对日常生活影响评分实验组明显优于对照组，差异有统计学意义（P0.05）。结论 肿瘤伴糖尿病患者PICC置管前控制血糖平稳，置管后予预防性护理可降低并发症，提高满意度。 　　[关键词] 肿瘤伴糖尿病患者；PICC置管；并发症；护理体会 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）10（b）-0017-02 　　[Abstract] Objective To analyze the clinical effect of PICC cannulation of patients with tumor and diabetes. Methods 53 cases of patients with tumor with diabetes admitted and treated in our hospital from March 2015 to March 2016 were selected as the control group， and the occurrence of complications was analyzed， and the nursing experience was summarized， and 52 cases of patients admitted and treated in our hospital from April 2016 to April 2017 were selected as the experimental group， and the vascular clogging， unplanned extubation， phlebitis， venous thrombosis， infection， PICC indwelling time， evaluation of nursing work， maintenance effect of PICC catheter and effect of PICC on the daily life were compared between the two groups. Results The vascular clogging， unplanned extubation， phlebitis， incidence rate of infection in the experimental group were obviously lower than those in the control group， and the PICC indwelling time， nursing， catheter maintenance effect and effect of PICC on the daily life were obviously better than those in the control group， and the differences were statistically significant（P0.05）. Conclusion The blood glucose of patients with tumor and diabetes before PICC cannulation is steady， and the preventive nursing after cannulation can reduce the complications and improve the satisfactory degree. 　　[Key words] Patients with tumor and diabetes； PICC cannulation； Complications； Nursing experience 　　肿瘤患者常采用放化疗治疗，采用由我国19世纪末期从国外引进入内的PICC置管术，可减轻患者反复穿刺痛苦[1]。应用过程中会有局部感染、静脉炎、导管堵塞、