肝素盐水有效降低PICC插管后静脉炎发生的临床研究

Clinical Study of the Influence of Dipping PICC Tubes in the Heparin Saline on Decreasing Phlebitis after PICC

目的 探讨三向瓣膜式PICC管经肝素盐水浸泡后再置管 ,对静脉炎发生的影响。方法 将 6 0例需要置管的患者 ,随机分为实验组和对照组各 30例 ,实验组采用肝素盐水完全浸泡的PICC导管 ;对照组采用不经肝素盐水完全浸泡的PICC导管。分别观察 2组患者静脉炎发生情况。结果 实验组和对照组静脉炎发生例数经统计学分析 ,χ2 =4 .32 >3.84 ,P <0 .0 5。结论 经肝素盐水浸泡后的PICC导管静脉炎的发生率有所下降。从而延长导管保留时间 ,减少患者痛苦 。

Objective To probe the influence of dipping PICC tube in heparin saline on the occurring of Phlebitis. Methods Choosing 60 cases patients who need intubation, all patients were randomly divided in two groups, the experiment group and the control group. Patients in the experiment group use PICC tubes dipping in heparin saline, but those in the control group use PICC tubes without dipping in. Then, observing the occurring rate of phlebitis. Results With statistical analysis, there were significantly deference between two groups in the rate of phlebitis occurring, χ 2=4.32 >3.84, P<0.05. Conclusions With PICC tubes dipping in heparin saline, we can decrease the rate of phlebitis occurring, prolong the holding time, release the pain and cost.