上腔静脉综合征患者上肢PICC置管及护理干预分析

邓朝宁，李佩研，杨海棠*

（西安医学院附属宝鸡医院，陕西 宝鸡，721006）

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摘要：

目的 探究上腔静脉综合征患者上肢PICC 置管及护理方法。方法 选择2015 年1 月至2017 年1 月在我院接受治疗的 80 例上腔静脉综合征患者为研究对象，按照随机双盲法将其分为研究组和对照组，每组40 例。两组患者均采用上肢PICC 置管方式，对照组予以常规护理，研究组予以护理干预，比较置管及护理效果。结果 研究组并发症总发生率为5.00%（2/40），明显低于对照组的27.50%（11/40）（P<0.05）；且研究组导管留置时间为（146.91±10.27）d，明显长于对照组的（59.46依8.33）d， 差异均有统计学意义（P<0.05）。结论 规范上腔静脉综合征患者上肢PICC 置管方式，并针对性予以护理干预，能够延长置管 时间，降低并发症发生率，效果显著，安全可靠，值得在临床当中推广运用。

关键词：上腔静脉综合征；PICC 置管；护理干预

中图分类号：R473.6 文献标志码：A文章编号：2096-1413(2018)06-0165-02

Analysis of the upper limb PICC catheterization and nursing intervention in patients with superior vena cava syndrome
DENG Zhao-ning, LI Pei-yan, YANG Hai-tang*
(Baoji Hospital, the Affiliated Hospital of Xi``an Medical University, Xi``an 721000, China)

ABSTRACT: Objective To explore the upper limb PICC catheterization and nursing methods in patients with superior vena cava syndrome. Methods Eighty patients with superior vena cava syndrome in our hospital from January 2015 to January 2017 were selected and divided into study group and control group according to the randomized double -blind method, with 40 cases in each group. The patients in the two groups were treated with upper limb PICC catheterization, and the control group was given routine nursing, while the study group was given nursing intervention. The catheterization and the effects of nursing were compared between the two groups. Results The total incidence rate of complications in the study group was 5.00% (2/40), which was significantly lower than 27.50% (11/40) in the control group （P<0.05）. The catheter retention time was (146.91±10.27) d in the study group, which was significantly longer than (59.46±8.33) d in the control group, the difference was statistically significant (P<0.05). Conclusion The upper limb PICC catheterization and nursing
methods in patients with superior vena cava syndrome can prolong the time of catheterization, reduce the incidence of complications. The effect of which is significant, safe and reliable. It is worthy of clinical application and popularization.

KEYWORDS: superior vena cava syndrome; PICC catheterization; nursing intervention

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