Objective:To compare the effects of blunt separation combined with early sheath removal and conventional catheterization on the incidence of bleeding,exudation and subcutaneous congestion after peripherally inserted c...Objective:To compare the effects of blunt separation combined with early sheath removal and conventional catheterization on the incidence of bleeding,exudation and subcutaneous congestion after peripherally inserted central catheter(PICC).Methods:250 patients with PICC catheterization in our hospital were selected,including 125 in the control group and 125 in the observation group.The conventional catheterization method was used in the control group:The sheath was removed by scalpel skin expansion and complete tube delivery in place.The observation group used blunt separation combined with early sheath removal.The success rate of one-time sheath delivery,immediate bleeding,24-hour bleeding and exudation were compared.Results:The success rate of sheath delivery in the observation group was 100%;The amount of immediate blood loss and blood loss 24h after catheterization in observation group was obviously lower than that in the control group,with statistical significance(P<0.05).There were 6 cases of exudation in the control group and no exudation in the observation group.There was significant difference in the incidence between the two groups(P<0.05);There were 10 cases of subcutaneous congestion in the control group and 2 cases of subcutaneous congestion in the observation group.There was significant difference in the incidence between the two groups(P<0.05);Conclusion:Blunt separation combined with early sheath removal can reduce the occurrence of local blood and fluid leakage after PICC catheterization.展开更多
文摘Objective:To compare the effects of blunt separation combined with early sheath removal and conventional catheterization on the incidence of bleeding,exudation and subcutaneous congestion after peripherally inserted central catheter(PICC).Methods:250 patients with PICC catheterization in our hospital were selected,including 125 in the control group and 125 in the observation group.The conventional catheterization method was used in the control group:The sheath was removed by scalpel skin expansion and complete tube delivery in place.The observation group used blunt separation combined with early sheath removal.The success rate of one-time sheath delivery,immediate bleeding,24-hour bleeding and exudation were compared.Results:The success rate of sheath delivery in the observation group was 100%;The amount of immediate blood loss and blood loss 24h after catheterization in observation group was obviously lower than that in the control group,with statistical significance(P<0.05).There were 6 cases of exudation in the control group and no exudation in the observation group.There was significant difference in the incidence between the two groups(P<0.05);There were 10 cases of subcutaneous congestion in the control group and 2 cases of subcutaneous congestion in the observation group.There was significant difference in the incidence between the two groups(P<0.05);Conclusion:Blunt separation combined with early sheath removal can reduce the occurrence of local blood and fluid leakage after PICC catheterization.
