針對(duì)性護(hù)理預(yù)防新生兒經(jīng)外周穿刺中心靜脈導(dǎo)管置入術(shù)后血栓的價(jià)值分析

打開(kāi)文本圖片集

【摘要】目的：研究新生兒經(jīng)外周穿刺中心靜脈導(dǎo)管（PICC）置入術(shù)后行針對(duì)性護(hù)理的效果。方法：數(shù)據(jù)取自本院2020年5月—2021年8月收治的80例PICC置入術(shù)患兒，“隨機(jī)取樣法”分為基礎(chǔ)組（傳統(tǒng)護(hù)理，n=40）和預(yù)防組（針對(duì)性護(hù)理，n=40），兩組療效比較。結(jié)果：護(hù)理前，比較兩組凝血功能無(wú)差異（P>0.05）；護(hù)理后，與基礎(chǔ)組比較，預(yù)防組APTT、PT、TT指標(biāo)更低（P

【關(guān)鍵詞】針對(duì)性護(hù)理；新生兒；經(jīng)外周穿刺中心靜脈導(dǎo)管；血栓；滿意度

Value of targeted nursing in preventing thrombosis after peripherally inserted central catheter implantation in newborns

XU Jiajia， ZHAO Ying

Subei People’s Hospital Affiliated to Yangzhou University， Yangzhou， Jiangsu 225000， China

【Abstract】Objective：To study the effect of targeted nursing after peripherally inserted central catheter （PICC） implantation in newborns. Methods：The data were collected from 80 children with PICC implantation treated in our hospital from May 2020 to August 2021. They were divided into basic group （traditional nursing， n=40） and prevention group （targeted nursing， n=40） by"random sampling method". The curative effects of the two groups were compared.Results：There was no difference in coagulation function between the two groups before nursing， P>0.05；After nursing， compared with the basic group， the APTT，PT and TT indexes of the prevention group were lower（P

【Key Words】Targeted nursing； Newborn； Peripherally inserted central catheter； Thrombus； Satisfaction

現(xiàn)階段較常見(jiàn)的深靜脈置管技術(shù)為外周穿刺中心靜脈導(dǎo)管（PICC）置入術(shù)，其穿刺肘部貴要靜脈、正中靜脈，導(dǎo)管尖端到達(dá)上腔靜脈的置管技術(shù)，具有用時(shí)短、一次性穿刺成功率高、并發(fā)癥少等優(yōu)勢(shì)[1]，其可為長(zhǎng)期輸液者提供方便，可避免靜脈置管損害周?chē)?，還能避免反復(fù)穿刺引起副作用發(fā)生，為靜脈給藥、靜脈營(yíng)養(yǎng)提供保證，已在臨床科室中被廣泛應(yīng)用，但實(shí)際操作時(shí)，體位擺放不當(dāng)、周?chē)h(huán)境變化及配合度差等因素，均導(dǎo)致置管流程受限，且PICC置管也易引起并發(fā)癥發(fā)生，其中血栓最常見(jiàn)，故早期配合對(duì)癥護(hù)理是關(guān)鍵。（剩余3879字）