单手双腔同时封管在预防PICC堵管中的应用

Application of one-hand double-lumen simultaneous locking technique in the prevention of occlusion using high pressure resistant double-lumen PICCs

目的探讨单手双腔同时封管手法在减少双腔耐高压注射型PICC堵管中的应用效果。方法采用方便抽样法,选取73例患者作为试验组,采用单手双腔同时封管手法封管;选取66例患者作为对照组,采用常规封管方法封管。统计双腔耐高压注射型PICC导管的堵管发生率。结果试验组的不完全堵管率为8.22%,对照组为17.42%,试验组的完全堵管率为0,对照组为0.76%,两者比较,差异有统计学意义(P<0.05)。结论单手双腔同时封管手法具有操作简单、方便的优点,能有效预防双腔耐高压注射型PICC堵管的发生。

Objective To explore the effects of application of one-hand double-lumen simultaneous locking technique on reduction of occlusion using high pressure resistant double-lumen PICCs. Methods Convenience sampling method was used to recruit 73 patients assigned into the experimental group,using one-hand double-lumen simultaneous locking technique;66 patients were assigned into the control group,using routine locking method. The rate of PICC occlusion was recorded. Results The rate of incomplete occlusion was 8.22% in the experimental group,and 17.42% in the control group,the rate of complete occlusion in the experimental group was 0,and 0.76% in the control group,and the difference was statistically significant（P〈0.05）. Conclusion The one-hand double-lumen simultaneous locking technique is easy and convenient to conduct. It can effectively reduce occlusion using high pressure resistant double-lumen PICCs.