瓣膜式高压注射型PICC与普通高压注射型PICC对肺癌患者的应用效果比较

Comparison study on the application effects between end valve type high pressure injection PICC and common high pressure injection PICC in patients with lung cancer

目的比较末端瓣膜式高压注射型PICC与普通高压注射型PICC在肺癌患者中的应用效果。方法选取2019年8月至2020年10月需要行高压注射型PICC置管的肺癌患者100例,采用随机数字法将患者分为2组,其中置入末端瓣膜式高压注射型PICC的52例为观察组,置入普通高压注射型PICC的患者48例为对照组,比较分析2组患者PICC置管后导管堵塞、血栓、导管脱出、皮肤损伤等并发症的发生情况、治疗间歇期的冲封管次数和维护费用、有无发生非计划性拔管以及患者使用导管期间的满意度等。结果2组患者导管堵塞、导管脱出、治疗间歇期的冲封管次数和维护费用、非计划性拔管以及对导管使用满意度的比较差异均有统计学意义(P<0.05),导管相关性血栓、皮肤损伤的发生情况,2组间差异无统计学意义(P>0.05)。结论末端瓣膜式高压注射型PICC导管堵塞等并发症和非计划性拔管发生率低,并减少了间歇期的治疗费用和护士的工作量,患者满意度高,可推广应用。

Objective To compare the application effects between end valve type high pressure injection PICC and common high pressure injection PICC in patients with lung cancer.Methods One hundred patients with lung cancer who were treated by high-pressure injection PICC catheter in our hospital from August 2019 to October 2020 were enrolled in the study,who were randomly divided into observation group(n=52)and control group(n=48).The patients in observation group were implanted with end valve type high pressure injection PICC,however,those in control group were implanted with ordinary high pressure injection PICC.The occurrence of complications of PICC including catheter blockaging,thrombosis,catheter falling out and skin injured,and the number of flushing and sealing pipes as well as the costs of maintenance during the interval of treatment,unplanned extubation and satisfaction degree of patients were observed and compared between the two groups.Results There were significant differences in catheter blockaging,catheter falling out,the number of flushing and sealing pipes and the costs of maintenance during the interval of treatment,unplanned extubation and satisfaction degree of patients between the two groups(P<0.05).However there were no significant differences in the occurrence statuses of catheter-related thrombosis and skin injured between the two groups(P<0.05).Conclusion The application of end valve type high pressure injection PICC catheter for the patients with lung cancer has lower incidence of complications including catheter blockaging,and lower incidence of unplanned extubation,lower costs of treatment,and can reduce the workload of nurses,and improve the satisfactions degree of patients,therefore,which can be popularized and applied in clinical practice.