PICC在老年消化道肿瘤患者术后肠外营养的应用及护理

目的观察经外周静脉置入中心静脉导管（PICC）在老年消化道肿瘤患者术后肠外营养的应用效果及总结护理要点。方法2006年12月-2007年12月为36例老年消化道肿瘤患者实施PICC留置管,给予术后肠外营养,分析PICC留置管在肠外营养护理过程可能出现的并发症及预防方法。结果36例患者PICC管留置成功率为100.0%,留置时间8-196d,平均68 d。患者术后均顺利进行7-36 d的肠外营养,营养状况明显改善。结论PICC置管成功率高,解决了患者反复穿刺的痛苦及肠外营养液对外周血管的损害,确保营养顺利输入,减轻了护士的工作量,且操作简单、危险性小。

Objective To investigate the advantages of peripherally insected central cather （PICC） in postoperative nutrition in the elderly with tumors of digestive tract and summarize nursing experience. Methods From Dec. 2006 to Dec. 2007, 36 old patients with digestive tract tumor underwent PICC intubation for parenteral nutrition after surgery. The advantages of PICC for parenteral nutrition, nursing complications and the preventive strategies were analyzed. Results 36 cases were successful in PICC intubation, taking up 100% , the detaining duration ranged from 8 to 196 days, with a mean of 68 days. Through PICC, parenteral nutrition continued in all the patients for 7 to 18 days, with a maximum of 36 days. The nutritional conditions of patients were improved significandy. Conclusions With a higher success rate of intubation, PICC can alleviate the suffering caused by repeated punctures and avoid the impairment of nutritional solution to the peripheral veins. PICC is simple and direct-viewing for manipulation and has fewer risks.