三向瓣膜式PI预防肝衰竭患者置管并发症的效果研究.docVIP

三向瓣膜式PICC预防肝衰竭患者置管并发症的效果研宄 中山大学附属第三医院肝脏病内科广东广州510530 】目的探讨三向瓣膜式PICC预防肝衰竭患者置管并发症的效果 研究。方法釆用病例对照研究2013年5月~2015年5月在中山大学附属第三医 院感染科住院治疗的首次确诊为肝衰竭的140例患者，随机分为PICC组和留置 针组。其中男128例，女12例。所有三向瓣膜式PICC置管患者均签署知情同意 书，所有直型留置针患者均知情同意，符合医学伦理学规定。采用自设一般情况 调查表收集患者一般资料，采用三向瓣膜式PICC置管并发症记录表收集患者置 管后第一个只、第二个月及第三个月的并发症资料，采用直型留置针置管并发症 记录表收集患者住院治疗三个月期间所有留置针并发症资料。计量资料比较用t 检验，多组间比较采用方差分析；计数资料比较用chi;2检验。结果PICC置管 组相对留置针组：穿刺口/针口渗血/渗出/坏死发生率低、一针穿刺成功率高、 穿刺点异常发生率低、静脉通道堵塞发生率低、静脉炎发生率低、肢体肿胀发生 率低和职业暴露风险低。结论对于肝衰竭患者实行三向瓣膜式PICC置管，可以 更好地避免置管并发症的发生，从而为肝衰竭患者建立长期静脉通道。 关键词】三向瓣膜式PICC;肝袞竭 The Effect of Three-way Valve tape PICC in Complication Prevention of Liver failure Patients. ABSTRACT: Objective To evaluate the effect of three-way valve tape PICC in complication prevention of liver failure patients. Method A case-control study was conducted in 140 patients which were first diagnosed with liver failure in Infection unit at the Third Affiliated Hospital of Sun Yat-sen University during May 2013 ~ May 2015.140 patients were randomly divided into two groups, PICC group and venous indwelling needle (VI) group. 128 cases were male and 12 cases were female. All patients were informed and consent, and the investigation is in line with medical ethics regulations. The self-designed General Condition Questionnaire was used to evaluate the demographic data. In addition, specific customized record sheet were used in record the catheterized complications in the first three month. The measurement data were used t-test, multiple groups were compared with randomized analysis of variance and the enumeration data were compared with the X2-test. Results compared to VI group, the following results of PICC group has been observed: lower incidence of bleeding/oozing/necrosis; higher success rate of single-needle; less anomalies in puncture point; less incidence of intravenous blockage, phlebitis and limb swelling; lower risk of occupational exposure. Conclusion The three-way valve type PICC catheter used in liver failure patients, c