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PICC规范化培训与管理对临床置管效果及并发症的观察 预览 被引量:60

Effect of standardized PICC training and management on the clinical effect and complication of catheterization
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摘要 目的:探讨经外周静脉置入的中心静脉导管(peripherally inserted central catheter,PICC)规范化培训与管理对临床置管效果及PICC相关并发症的影响.方法:选取置管信息记录完善、住院和出院间歇期均在医院维护且能全程跟踪随访到的610例患者进行回顾性分析,以接受“短期速成培训班”学员置管的患者为对照组(n=300),以接受“系统规范化培训与管理班”学员置管的患者为观察组(n=310),比较两组患者的置管效果及PICC并发症发生率.结果:两组学员PICC置管患者的一次性穿刺成功率、一次性置管成功率、操作时间和疼痛评分对比,差异均具有统计学意义(均P<0.01),两组学员PICC置管患者的导管脱出、导管堵塞、心律失常、导管相关血栓、静脉炎、穿刺点渗液及导管相关性感染发生率对比,差异均具有统计学意义(均P<0.05).结论:系统规范化培训与管理能提高护士的PICC置管效果,减少PICC置管患者并发症发生率. Objective: To determine the clinical effect of standardized training and management of peripherally inserted central catheter(PICC) and catheter-related complications. Methods: A total of 610 patients were divided into a control group and an observation group, the control group(n=300) were catheterized by trainees who received 'short-term intensive training', the observation group(n=310) by 'system standardized training and management'. The clinical efficacy of catheterization and the rate of catheter-related complications were compared.Results: There was significant difference in the one-time puncture success rate, one-time cannulation success rate, the time for operation and the pain score between the 2 groups(all P<0.01), and there was also significant difference in the occurrence of catheter extrusion, plug, arrhythmia, catheter-related thrombosis, phlebitis, puncture point effusion and catheter-related infection between the 2 groups(all P<0.05).Conclusion: Standardized PICC training and management can improve the effect of catheterization and reduce the incidence of PICC-related complication.
作者 张京慧 唐四元 贺连香 陈文凤 姜萍岚 胡元萍 陈华 ZHANG Jinghui[1] TANG Siyuan[2] HE Lianxiang[3] CHEN Wenfeng[4] JIANG Pinglan[5] HU Yuanping[5] CHEN Hua[6]
出处 《中南大学学报:医学版》 CAS CSCD 北大核心 2014年第6期共6页 Journal of Central South University (Medical Sciences) Journal of Central South University (Medical Sciences)
基金 湖南省科技厅社会发展支撑计划基金,the Social Development Support Program of Department of Science and Technology of Hunan Province,P.R.China
关键词 PICC规范化培训与管理 临床置管效果 PICC相关并发症 standardized training and management of PICC clinical effect of catheterization PICC-related complication
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