PICC置管后首次换药时间探讨

Probe into the first dressing change time after PICC

[目的]探讨临床经外周置入中心静脉导管(PICC)置管后首次换药的时间对置管初期并发症的影响。[方法]706例置管病人分为观察组和对照组进行临床观察,对置管后的并发症进行统计,观察经两种时间换药后有无引起置管初期并发症增加。[结果]置管后48h内换药对病人置管后并发症的预防和发生并无明显差异(P>0.05)。[结论]临床PICC置管后可采取48h内换药,既可减少病人和临床护士的换药压力,也可很好地观察穿刺处切口的愈合情况,了解病人置管后有无初期并发症的发生。

Objective：The main objective of the first dressing change after peripherally inserted central venous catheter （PICC）was to keep the puncture site clean and dry and observe complications in initial stage of PICC,so as to the influence of the first dressing change time after clinical PICC on complications in initial stage of PICC.Methods：A total of 706 cases of PICC patients were divided into observation group and control group for clinical observation, complications after PICC were counted and observing if the complications in initial stage of PICC increased after two different dressing change time.Results：There were no significant differences（P ＆gt;0.05）in prevention and occurrence of complications of PICC patients in dressing change within 48 hours after PICC（P〉0.05）.Conclusion：Dressing change within 48 hours after PICC can not only reduce the pressure of dressing change of patients and clinical nurses,but also can observe the healing condition of puncture site and know about if patients will have early complications after PICC.