藻酸盐银离子预防肿瘤患者经外周静脉穿刺中心静脉置管部位感染的临床研究

发布时间：2019-04-30 16:13

【摘要】：目的探讨藻酸盐银离子预防肿瘤患者经外周静脉穿刺中心静脉置管(PICC)穿刺部位感染的临床效果,为预防PICC置管局部感染提供参考依据。方法选择2013年1月-2015年9月医院收治的肿瘤且行PICC置管138例患者为研究对象,随机分为观察组和对照组,各69例;观察组在PICC置管成功后,采用藻酸盐银离子辅料覆盖穿刺点,并用3M敷贴固定,对照组在PICC置管成功后,采用无菌纱布覆盖穿刺点,并用3M敷贴固定;观察两组患者穿刺部位感染和不良反应,数据采用SPSS 13.0软件进行统计分析。结果观察组穿刺部位感染率为0,对照组穿刺部位感染5例,感染率为7.2%;观察组皮肤过敏和静脉炎发生率均明显低于对照组;观察组自感舒适率明显高于对照组,两组比较,差异均有统计学意义(P0.05)。结论藻酸盐银离子预防肿瘤患者PICC置管局部感染的临床疗效显著,可有效预防穿刺部位感染,降低皮肤过敏和静脉炎发生风险,提高患者局部舒适度,值得临床应用。
[Abstract]:Objective to investigate the clinical effect of alginate silver ion on preventing the local infection of (PICC) through central vein puncture in patients with tumor, and to provide reference for preventing local infection of PICC catheter. Methods from January 2013 to September 2015, 138 patients with tumor treated by PICC were randomly divided into two groups: observation group (n = 69) and control group (n = 69). After successful placement of PICC tube, alginate silver ion excipients were used to cover the puncture point and fixed with 3M application in the observation group. In the control group, the puncture point was covered with sterile gauze and fixed with 3M application after the successful placement of PICC tube. The infection and side effects of puncture site were observed in the two groups. The data were analyzed by SPSS 13.0 software. Results the infection rate of puncture site was 0 in the observation group and 7.2% in the control group, and the incidence of skin allergy and phlebitis in the observation group was significantly lower than that in the control group. The spontaneous comfort rate in the observation group was significantly higher than that in the control group, and the difference between the two groups was statistically significant (P0.05). Conclusion Alginate silver ion is effective in preventing local infection of PICC in tumor patients. It can effectively prevent puncture site infection, reduce the risk of skin allergy and phlebitis, and improve the local comfort of patients, which is worthy of clinical application.
【作者单位】： 石家庄市第一医院肿瘤一科;
【基金】：河北省科研基金资助项目[(2014)101-141463183]
【分类号】：R473.73

【相似文献】

相关期刊论文 前6条

1 李宏;;藻酸盐联合水胶体敷料治疗压疮的效果观察[J];临床合理用药杂志;2012年07期

2 刘月玲;王宜顺;张立新;崔雪华;;老年患者重度压疮两种治疗方法效果比较[J];右江民族医学院学报;2014年04期

3 袁君君;彭虹;曾玲玲;;藻酸盐医用膜用于外科伤口换药的效果观察[J];中国医学创新;2012年32期

4 张孝茹;付红;;银离子藻酸盐填充条+泡沫敷料在气管切开护理中的应用[J];临床护理杂志;2014年01期

5 陈秀君;;藻酸盐银离子敷料治疗重度肠造口皮肤黏膜分离的护理[J];护士进修杂志;2012年18期

6 ;[J];;年期

相关会议论文 前2条

1 汪丽萍;戴霞;;藻酸盐加粘性敷料在中厚皮片供区的应用与护理[A];美丽人生 和谐世界——中华医学会第七次全国医学美学与美容学术年会、中华医学会医学美学与美容学分会20周年庆典暨第三届两岸四地美容医学学术论坛论文汇编[C];2010年

2 于航娜;;伤口负压治疗技术病例分享[A];2013年河南省外科现代护理理论与循证实践新进展学习班——创伤急救护理学组分会场论文集[C];2013年

，

本文编号：2468867