气囊创口贴在肝衰竭患者PICC置管后止血效果观察及护理

Clinical Hemostatic Effect of Air-bag-like Bandage in the Hepatitis B-associated Liver Failure Patients After PICC Catheter

目的总结为肝衰竭患者提供PICC置管后使用气囊创口贴止血效果与护理方法。方法选择2014年1月—2015年10月在感染科住院诊断为肝衰竭的患者165例作为研究对象,将其随机分为试验组(44例)与对照组(121例)。两组患者均接受PICC置管,对照组患者采用常规置管后止血方法,试验组采用气囊创口贴加压包扎,评估两组患者舒适度评分及48 h渗血发生情况。结果实验组患者48 h内渗血分度结果显示,0度患者所占比率高于对照组,Ⅰ度、Ⅱ度、Ⅲ度、Ⅳ度患者所占比率均低于对照组(P<0.05)。实验组患者无不适所占比率高于对照组,轻度、中度、重度不适所占比率均低于对照组(P<0.05)。结论本研究通过PICC置管术后前瞻性使用气囊式创口贴进行压迫止血,发现能显著减少PICC置管术后穿刺口的出血情况,患者舒适度评价较好。

Objective To study the clinical hemostatic effect of air-baglike bandage in the hepatitis B-associated liver failure patients after PICC catheter. Methods 165 cases of patients with hepatitis B-associated liver failure treated from January 2014 to October 2015 in our Infectious Department were selected. The subjects were randomly divided into test group（44 cases） and control group（121 cases）. Both of groups adopted the PICC catheter. The control group adopted the conventional hemostatic method; the test group adopted the air-bag-like bandage. The comfort level and exudation degree within 48 h was evaluated. Result With 48 h, the proportion of patients with Grade 0 of exudation for test group was higher than control group; the proportion of patients with Grade Ⅰ, Grade Ⅱ, Grade Ⅲ and Grade Ⅳ of exudation for test group was lower than control group（P〈0.05）. The proportion of comfortable cases for test group was higher than control group; the proportion of patients with mild, moderate and severe discomfort for test group was lower than control group（P〈0.05）. Conclusion After PICC catheter, the air-bag-like bandage can greatly reduce the bleeding amount and improve the patient＇s comfort level.