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find Keyword "中心静脉导管" 50 results
  • 外周静脉置入中心静脉导管留置期间恶性肿瘤患者焦虑状况调查研究

    目的 了解肿瘤患者留置外周静脉置入中心静脉导管(PICC)期间的焦虑状况水平,为采取针对性的护理干预提供依据。 方法 2012年2月-4月通过便利抽样的方法,调查某三甲医院肿瘤中心入住的200例留置PICC患者的焦虑情况,分析焦虑产生的相关因素。 结果 留置PICC住院患者的焦虑自评量表评分比中国常模人群高,差异有统计学意义(t=11.2,P<0.05)。影响置管患者焦虑的因素有婚姻情况、文化程度、家庭背景、经济收入及医疗保险情况等。 结论 加强留置PICC患者健康教育和心理护理干预,可降低患者焦虑水平。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • 外周静脉置入中心静脉导管术在高原地区肿瘤患者中的应用观察

    目的 探讨外周静脉置入中心静脉导管(PICC)术在高原地区肿瘤患者中的临床应用,为西藏地区更好开展PICC技术提供依据。 方法 回顾性分析2010年8月-2012年4月113例肿瘤患者临床资料。 结果 穿刺成功111例,失败2例,成功率为98.2%。发生相关并发症14例,发生率12.4%,其中导管异位6例(5.3%),导管相关性感染3例(2.7%),栓塞2例(1.8%),机械性静脉炎2例(1.8%),导管部分脱出1例(0.8%)。 结论 PICC置管是一种置管成功率高,保留时间长,并发症较少、可靠有效的静脉治疗新途径,可在高原地区广泛推广应用。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • Causes, Prevention and Nursing of the Complication in Critically Ill Neurosurgical Patients with Peripherally Inserted Central Catheter

    目的 探讨神经外科危重患者经外周静脉置入中心静脉导管(PICC)的常见并发症发生原因,同时总结并发症有效预防措施及护理对策。 方法 纳入2009年9月-2012年9月期间行PICC的190例神经外科重症住院患者,统计并发症发生率,对其原因进行分析,并开展针对性预防和护理。 结果 本组患者PICC置管后有75例发生不同类型并发症,其中置管时并发症17例,包括导管异位8例,送管困难6例,穿刺失败3例,发生率为9%;导管留置期间并发症58例,包括穿刺点渗血、渗液16例,意外拔管12例,静脉炎10例,导管部分脱出9例,导管堵塞7例,导管相关性感染3例,导管相关性静脉血栓1例,发生率为30.5%。根据其发生的不同原因,采取积极的治疗和护理措施,并发症得以治愈,降低了并发症发生率。 结论 规范护理流程,加强临床培训,熟悉和掌握PICC并发症的预防和护理措施,可提高PICC置管、使用的安全性。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • 静脉/动脉血液管理保护管路与经外周静脉置入中心静脉导管的联合应用

    目的 总结静脉/动脉血液管理保护管路(VAMP)与经外周静脉置入中心静脉导管(PICC)联合应用于重症患者的血液标本采集的方法及护理。 方法 对2011年8月-11月79例留置PICC的患者应用VAMP采集血标本的方法进行回顾总结。 结果 79例患者所取血液标本合格率达100%,未发生针刺伤,且采血时未断开输液接头。 结论 PICC导管与VAMP配合应用可有效避免反复抽血给患者带来的痛苦,同时减少血样采集时的感染、针刺伤和血液废弃物,值得临床推广。

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  • Risk Factors of Catheter-Associated Bloodstream Infections in Intensive Care Unit of Primary Hospital

    Objective To explore the risk factors of catheter-associated bloodstream infections ( CRBSI) in intensive care unit ( ICU) of primary hospital. Methods A total of 623 patients with central venous catheters were recruited in the study. 60 of themsuffered fromCRBSI served as an observation group and other 563 cases without CRBSI served as control. Univariate analysis was used to scan possible risk factors. Then logistic regression analysis was used to exclude the confounding factors. Results The overall incidence rate of CRBSI was 9. 63% ( 60 /623) . There were significant differences in APACHE score, type of catheter, location of catheter, duration of central venous catheter, intravenous nutrition, use of steroid, times of intubation, urgent intubations, nutritional status, diabetes, and MODS between the two groups. Logistic regression analysis revealed that higher APACHE score, double-lumen catheter, femoral vein catheter, catheter indwelling more than two weeks, intravenous nutrition, intubation more than 2 times, and emergency intubation were risk factors of CRBSI. Conclusions Higher APACHE score, double-lumen catheter, femoral vein catheter, catheter indwelling more than two weeks, intravenous nutrition, intubation more than 2 times, and emergency intubation were major risk factors of CRBSI in ICU of primary hospital.

    Release date:2016-09-13 04:07 Export PDF Favorites Scan
  • INFLUENCE OF THREE CENTRAL VENOUS CATHETER BIOMEDICAL MATERIALS ON PROLIFERATION, APOPTOSIS, AND CELL CYCLE OF XUANWEI LUNG CANCER-05 CELLS

    ObjectiveTo explore the influence of three central venous catheter biomedical materials (polyurethane, silicone, and polyvinyl chloride) on the proliferation, apoptosis, and cell cycle of Xuanwei Lung Cancer-05 (XWLC-05) cells so as to provide the basis for clinical choice of central venous catheter. MethodsXWLC-05 cells were cultured and subcultured, and the cells at passage 3 were cultured with polyurethane, silicone, and polyvinyl chloride (1.0 cm × 1.0 cm in size), and only cells served as a control. At 24, 48, and 72 hours after cultured, MTT assay was used to detect the cellular proliferation and flow cytometry to detect the cell cycle and apoptosis. At 72 hours after cultured, inverted microscope was used to observe the cell growth. ResultsInverted microscope showed the cells grew well in control group, polyurethane group, and silicone group. In polyvinyl chloride group, the cells decreased, necrosed, and dissolved; residual adherent cells had morphologic deformity and decreased transmittance. At 24 and 48 hours, no significant difference in proliferation, apoptosis, and cell cycle was found among 4 groups (P gt; 0.05). At 72 hours, the proliferations of XWLC-05 cells in three material groups were significantly inhibited when compared with control group (P lt; 0.05), and the cells in polyvinyl chloride group had more significant proliferation inhibition than polyurethane group and silicone group (P lt; 0.05), but there was no signifcant difference in proliferation inhibition between polyurethane group and silicone group (P gt; 0.05). Compared with the control group, three material groups had significant impact on the rate of apoptosis and cell cycle: polyvinyl chloride group was the most remarkable, followed by silicone group, polyurethane group was minimum (P lt; 0.05). ConclusionPolyvinyl chloride can significantly impact the proliferation, apoptosis, and cell cycle of XWLC-05 cells; polyurethane has better biocompatibility than polyvinyl chloride and silicone

    Release date:2016-08-31 05:39 Export PDF Favorites Scan
  • Heparin Added in Total Nutrient Admixture for Preventing Peripherally Inserted Central Catheter Occlusion in Neonate: A Case Report

    Objective To make an individualized administration scheme via evidence-based medicine methods, namely adding heparin into the total nutrient admixture (TNA) solution, so as to help a neonate to prevent the occlusion of peripherally inserted central catheter (PICC). Methods After carefully assessing the condition of neonate, this clinical issue was put forward in accordance with the PICO principles. Randomized controlled trials (RCTs) and systematic reviews on neonates’ PICC occlusion were collected from The Cochrane Library, CCTR, DARE, NGC, MEDLINE (Ovid) and CBM from inception to 2011. The clinical intervention scheme was finally made after the assessment of the retrieved evidence and neonate’s physiological condition. Results A total of 4 RCTs and 1 systematic review related to the issues were identified. The following scheme was finally made for the neonate through the assessment of the retrieved evidence and combination of intentions of the patient’s family members: heparin (0.5 U/mL) was added into TNA to prevent PICC occlusion. During the application, blood routine test and blood coagulation were monitored, and the catheter opening time and extubation reason were recorded. Through the above treatment, the neonate successfully completed the treatment before extubation. The time of both PICC detaining and opening was 20 days in total, and there were no PICC occlusion, no catheter thrombosis, and no catheter related bloodstream infection. Moreover, no observation showed thrombopenia and aggravated coagulation disorders resulted from heparin. Conclusion The evidence-based medicine method is an effective way to make reasonable heparin scheme for neonate, so as to prevent PICC occlusion, reduce catheter thrombosis, decrease risks of catheter related blood circulation infection, assure successful completion of treatment, and guarantee the safety of patients.

    Release date:2016-09-07 10:58 Export PDF Favorites Scan
  • 运用改良塞丁格技术经外周静脉置入中心静脉导管临床应用实践

    目的 总结运用改良塞丁格技术实现经外周静脉置入中心静脉导管(PICC)的方法与经验。 方法 2009年11月-2012年3月对51例肿瘤患者应用改良塞丁格技术置入PICC,其中10例在超声引导下施行。 结果 50例首次操作置管成功,1例首次置管失败,1周后再次置入成功,无重要并发症。 结论 改良塞丁格技术行PICC 置管具有良好的临床实用性、安全性和可靠性。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 超声引导下颈内静脉阻断法预防经外周静脉置入中心静脉导管异位颈内静脉的效果观察

    目的 观察超声引导下颈内静脉阻断对预防外周静脉置入中心静脉导管(PICC)时发生颈内静脉异位的效果。 方法 2011年6月-12月将326例PICC置管的患者随机分为观察组和对照组各163例,观察组在送管时运用B型超声引导下阻断颈内静脉;对照组在送管时采用传统的偏头压肩法阻断颈内静脉。置管后通过胸部X线片比较两组患者导管异位率。 结果 观察组发生导管异位2例,对照组发生12例,两组导管异位率差异有统计学意义(χ2=7.537,P=0.006)。 结论 超声引导下颈内静脉阻断法对预防PICC置管时发生导管异位于颈内静脉具有较高的临床意义。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 弹力绷带在经外周静脉置入中心静脉导管置管中的固定作用及效果

    目的 讨论弹力绷带在经外周静脉置入中心静脉导管(PICC)置管中的固定作用及对减少局部渗血、渗液和预防机械性静脉炎的效果。 方法 选择2011年6月-2012年3月在某三甲医院重症医学科(ICU)行PICC置管的100例患者,按穿刺时间先后顺序单号纳入对照组,双号归于试验组,每组各50例。对照组置管后在穿刺局部放置8层无菌方纱,外用 10 cm×12 cm的透明敷料外固定;试验组在对照组的基础上增加弹力绷带固定,分别观察两组患者置管后24、72 h局部渗血、渗液、机械性静脉炎的发生情况。 结果 在24、72 h两个时间点,试验组渗血、渗液发生率少于对照组(χ2=4.57,P<0.05);静脉炎发生率在24 h时低于对照组(χ2=4.00,P<0.05),但在72 h差异无统计学意义。 结论 PICC置管患者使用弹力绷带固定不仅可防止穿刺点渗血渗液,减少机械性静脉炎的发生,而且可减轻护士工作量,值得临床推广使用。

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