红外线照射预防外周中心静脉置管术后无菌性静脉炎的研究

Preventing of Sterile Phlebitis by Infrared Irradiation after Peripherally Inserted Central Catheterization

目的探讨红外线照射对外周中心静脉置管术(PICC)后无菌性静脉炎的预防与控制效果。方法对122例行PICC术的住院患者,随机分为两组,对照组PICC术后患者给予常规护理,试验组PICC术后患者在常规护理的基础上行早期红外线照射,观察两组行PICC术后无菌性静脉炎的发生率和相关因素以及置管后的成功率。结果试验组置管后的成功率明显高于对照组,无菌性静脉炎发生率为0,对照组无菌性静脉炎发生率为21.9%;而无菌性静脉炎的发生与插管不畅、反复送管的关系密切。结论早期行红外线照射可以预防无菌性静脉炎的发生,提高置管后的成功率,保证治疗有效进行,减轻患者痛苦和降低患者的医疗费用。

OBJECTIVE To study the clinical effect of preventing and treating sterile phlebitis （abacterial phlebitis, SP） by infrared irradiation after peripherally inserted central catheterization （PICC）. METHODS Totally 122 inpatients from the Zhejiang Provincial Peoplers Hospital were divided into two groups randomly, the control group and the experimental group. The control group was only treated with usual care after PICC, while the experimental group with both infrared irradiation and usual care. The incidence rate of SP and its correlation factor were compared between the two groups. RESULTS None in the experimental group got SP. Nevertheless, the control group got a 21.9% incidence i＇ate. The development of SP mostly own to impassable intubation or repeating intubation. CONCLUSIONS For those patients with impassable intubation or repeating intubation during PICC operation, infrared irradiation shows greatly helpful and can obviously prevent the SP and diminish patients＇ fee.