PICC置管患者的院外管理

The Management of Patients with PICC Catheter

目的探讨健康教育在留置picc管的肿瘤患者化疗间歇期带管离院管理中的应用。方法对我科2006年12月~2007年12月进行PICC插管行肿瘤化疗治疗的112例肿瘤患者进行全程、规范的围置管期健康教育。结果本组病例置管成功率为99.0%,留置5~275d。发生机械性静脉炎2例,穿刺点出血3例,导管堵塞9例,非计划性拔管1例。所有病例导管全部完整,细菌培养均为阴性。结论对围置管期患者进行规范、系统的健康教育,提高了穿刺成功率,减少或避免了相关并发症,极大地延长了PICC留置时间。

Objective To explore the health education in PICC tube indwel ing chemotherapy intermission with pipe from the application of hospital management.Methods 112 cases of tumor patients in our department from 2006 December to 2007 December PICC chemotherapy for cancer treatment during intubation canula period,standardized health education.Results In this group,the success rate of catheterization was 99%,the longest indwelling for 275 days,the shortest 5 days.Mechanical phlebitis in 2 cases,3 cases of hemorrhage,9 cases of catheter blockage,unplanned extubation in 1 cases.In al cases,catheter complete,bacteria culture were negative.Conclusion Health education,system specification of the canula period patients,improve the success rate of puncture,reduce or avoid the complications,greatly extended the PICC retention time.