经PICC测中心静脉压异常的护理方法研究

Study on Nursing Method of Abnormal Central Venous Pressure Measurement by PICC

目的：分析讨论经外周静脉置入中心静脉导管（PICC）测中心静脉压（CVP）异常患者的临床护理方法。方法：选取2016年1—8月于本院接受治疗的6例经PICC测CVP异常患者作为研究对象，回顾性研究分析所有患者的临床资料。结果：2例CVP低于5cm H2O，且低至（2．21±1．15）cmH20，经过PICC大量补液（24h补液量超过4500mL）后CVP升至（6．08±1．25）cmH2O；4例CVP超过12cmH2O，且达到（16．13±1．75）cmH2O，在给予利尿剂和强心药物后的12～48hCVP下降到（13．62±1．28）cmH2O，之后给予扩血管药物，30min后CVP降至（12．51±1．65）cmH2O。结论：这表明经PICC测CVP可以对患者心脏功能进行充分了解，临床护理中应注重对CVP的监测护理，这不仅可以降低患者并发症发生率，提高护理满意度，还可以确保患者病情更加稳定。

Objective： To analyze and discuss the clinical nursing methods of abnormal central venous pressure （ CVP ） measurement by PICC.Method： From January to August in 2016, 6 patients with abnormal CVP measurement by PICC in our hospital were selected as the research objects, all patients clinical data were analyzed retrospectively.Result： 2 cases CVP below 5 cm H2O and as low as （ 2.21 ± 1.15 ） cm H2O, after a large number of PICC fluid infusion （ 24 h fluid infusion more than 4500 mL ）, the CVP rose （ 6.08 ± 1.25 ） cm H2O.4 cases CVP more than 12 cm H2O and reached （ 16.13 ± 1.75 ）cm H2O, CVP decreased to （ 13.62 ± 1.28 ） cm H2O after giving diuretics and strong heart drugs 12-48 h, after the expansion of blood vessels, CVP down to （ 12.51 ± 1.65 ） cm H2O after 30min.Conclusion： PICC measurement of CVP can fully understand the heart function of patients, under this premise to give targeted care, not only can reduce the incidence of complications and improve nursing satisfaction, but also ensure patient＇s condition is more stable, worthy of clinical popularization and application.