浅谈PICC置管前后局部皮肤消毒对置管后相关并发症的影响

目的:分析总结护士在PICC置管前局部皮肤消毒准备在置管后相关并发症预防中的重要性。方法:选择160例需要留置PICC导管患者,随机分为观察组和对照组各80例,对照组置管时局部皮肤常规消毒,观察组在置管前先用2%CHG(洗必泰酒精消毒液)清洗PICC置管处局部皮肤再进行常规消毒,对比两组患者感染、局部静脉炎、置管时间、拔管的发生率。结论:PICC置管前、置管后维护中应用2%CHG清洗消毒穿刺局部皮肤可明显降低感染、静脉炎,拔管的发生率,并可延长置管时间。

objective: to analysis the nurse local skin disinfection preparation before PICC catheter after catheter related complications, the importance of prevention. Method: choose 160 patients need indwelling PICC catheter, each 80 cases were randomly divided into observation group and control group, local skin disinfection normal control group, observation group with 2% CHG before catheter(disinfectant chlorhexidine alcohol) cleaning PICC catheter in local skin again for regular disinfection, compared two groups of patients with infection, local phlebitis, catheter time, the incidence of tube drawing. Conclusion: before the PICC catheter, catheter puncture of the cleaning and disinfection of the maintenance of the application of 2% CHG after local skin can obviously reduce the infection, phlebitis, the incidence of tube drawing, and can prolong the time of insertion.