关于外周静脉穿刺置入中心静脉导管维护中碘伏待干与75%乙醇脱碘的研究分析

Analysis of studies on peripheral venous puncture insertion of central venous catheter maintenance with iodophor and 75%ethanol deiodine

目的:探讨在外周静脉穿刺置入中心静脉导管(PICC)维护中采用碘伏消毒待干与75%乙醇脱碘两种方式的并发症发生率及护理效果。方法:选择2020年8月-2021年1月接受PICC置管维护的患者共108例,按随机法分为对照组和观察组,每组54例。对照组采用碘伏消毒直接待干的标准维护方法,观察组在对照组基础上采用75%乙醇擦拭的方法,比较两组维护后是否出现穿刺部位感染、贴膜松脱、过敏反应、导管脱出的情况,并观察护理效果。结果:观察组穿刺部位感染、贴膜松脱、过敏反应、导管脱出等发生率低于对照组,护理效果高于对照组,差异有统计学意义(P<0.05);两组患者在置管期间均未发生严重并发症。结论:在PICC维护中,75%乙醇脱碘效果明显优于PICC标准维护,可提高护理质量,减少不良反应的发生,提升患者的生活质量。

Objective:To study the nursing effect of 75%ethanol deiodization and iodine volt disinfection for drying in peripherally inserted central catheter(PICC)maintenance.Methods:A total of 108 patients who received central venous catheterization maintenance from August 2020 to January 2021 were selected and divided into two groups according to random number table method,with 54 patients in each group.The control group was treated with conventional nursing mode,and the observation group was treated with 75%ethanol deiodized nursing mode.The nursing effect of the two groups was compared.Results:The incidence of complications in the observation group was significantly lower than that in the control group,while the nursing effect was significantly higher than that in the control group,with statistical significance(P<0.05).No serious complications occurred in the two groups during maintenance.Conclusion:In PICC maintenance,the deiodization effect of 75%ethanol is significantly better than that of conventional PICC maintenance,which can improve the quality of care,reduce the occurrence of adverse reactions,and improve the quality of life of patients.