临床肿瘤学杂志

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藻酸盐敷料用于PICC置管术后穿刺点止血的效果观察

郭洪霞,穆婷婷,李金艳   

  1. 100853 北京 解放军总医院肿瘤综合治疗科一病区
  • 收稿日期:2012-06-05 修回日期:2012-07-21 出版日期:2012-11-30 发布日期:2012-11-30

Clinical observation of alginate dressing in hemostasis after peripherally inserted central catheter

GUO Hong-xia,MU Ting-ting,LI Jin-yan   

  1. Ward 1, Comprehensive Therapy of Oncology Department, PLA General Hospital, Beijing 100853,China
  • Received:2012-06-05 Revised:2012-07-21 Online:2012-11-30 Published:2012-11-30

摘要: 目的 观察藻酸盐敷料用于经外周植入中心静脉导管(PICC)置管术后穿刺点止血的效果。方法将120例行PICC置管术的肿瘤患者随机分为试验组(n=60)和对照组(n=60)。PICC置管成功后,对照组采用传统的透明敷料加纱球固定;试验组用藻酸盐敷料对折两次覆盖于穿刺点上方,并用一纱球压迫后覆盖透明敷料。观察并比较两组患者PICC穿刺成功后穿刺点24h内的出血情况。结果试验组中穿刺点24h内无渗血44例(73.3%),轻度渗血8例(13.3%),中度渗血6例(10.0%),重度渗血2例 (3.3%);对照组中无渗血5例(8.3%),轻度渗血25例(41.6%),中度渗血20例(33.3%),重度渗血10例(16.7%),两组差异有统计学意义(P<0.05)。试验组24h内平均换药1.1次,对照组为2.2次,差异具有统计学意义(P<0.05)。结论 藻酸盐敷料用于PICC置管术后穿刺点止血效果好,可以明显减少换药次数。

Abstract: Objective To observe the effect of alginate dressing on hemostasis after peripherally inserted central catheter(PICC). MethodsA total of 120 patients undergoing PICC cathetering were randomly divided into trial group(n=60) and control group(n=60). All 120 patients were treated with a tampon oppressed on the spot of puncture and covered with a transparent dressing, while 60 patients in the trial group were covered with a twofolded alginate dressing additionally. The bleeding conditions were compared between the two groups in 24 hours after PICC cathetering. ResultsBleeding was observed in 16 patients in the trial group (16.7%); and the frequency of bleeding degree of mild, moderate and severe were 13.3%, 10.0% and 3.3% respectively. In the control group, bleeding was observed in 55 patients, and frequency of bleeding degree of mild, moderate and severe were 41.6%, 33.3% and 16.7% respectively. The average times of dressing changing in trail group and control group were 1.1 and 2.2. There were significant differences between two groups(P<0.05). Conclusion Alginate softfills has a definite hemostasis effect after PICC cathetering, so as to reduce dressing changing times.

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