改良穿刺法对肿瘤患者PICC置管后导管相关性血流感染的预防

To improve the prevention of catheter-related bloodstream infection after PICC catheterization in patients with tumor

目的:探究改良穿刺法对肿瘤患者PICC置管后导管相关性血流感染的预防效果。方法:按照入院顺序抽取我院自2015年2月至2017年2月收治的肿瘤患者95例,按照抽签的方式,分为研究组(n=47)和对照组(n=48),对照组进行传统盲穿式置管,研究组进行改良穿刺法,比较两组的穿刺成功率(一次穿刺成功率、总成功率)、穿刺时间以及并发症发生率。结果:与对照组的一次穿刺成功率(58.3%)比较,研究组的(80.9%)较高;与对照组的总成功率(77.1%)比较,研究组的(97.9%)较高;与对照组的穿刺时间比较,研究组的较短;与对照组的并发症发生率(22.9%)比较,研究组的(4.3%)较低,差异均有统计学意义(P<0.05)。结论:改良穿刺法可显著降低肿瘤患者PICC置管后的并发症发生率,缩短穿刺时间,提高穿刺成功率,值得借鉴和推广。

Objective:To explore the preventive effect of modified puncture method on catheter-related bloodstream infection after PICC catheterization in patients with tumor.Methods:95 cases of tumor patients admitted to our hospital from February 2015 to February 2017 were selected according to the order of admission,divided into the study group(n=47)and the control group(n=48).In the control group,the traditional blind catheterization was carried out,and the research group improved the puncture method.The rate of puncture success(one-time puncture success rate,total success rate),puncture time and complication rate were compared between the two groups.Results:compared with the total success rate(77.1%)of the control group,the study group(97.9%)was higher.Compared with the puncture time of the control group,the study group was shorter.Compared with the incidence of complications(22.9%)in the control group,the study group(4.3%)was lower,with significant difference(P<0.05).Conclusion:the improved puncture method can significantly reduce the incidence of complications after PICC catheterization,shorten the puncture time and improve the success rate of puncture,which is worthy of reference and promotion.