贴膜开窗联合纱布换药法在PICC置管穿刺点渗液中的护理研究

摘要/Abstract

摘要： 目的探讨贴膜开窗联合纱布换药法在PICC置管穿刺点渗液中的护理效果。方法选择2019年1月—2021年1月安徽医科大学第二附属医院收治的40例PICC置管穿刺点渗液患者为研究对象,对其进行回顾性研究,根据护理方法的不同分为对照组和观察组,每组20例。对照组采用常规护理方法,观察组在对照组基础上采用贴膜开窗联合纱布换药法。比较两组患者穿刺点渗液愈合时间以及感染、导管移位、脱管、接触性皮炎的发生情况。结果观察组患者穿刺点渗液平均愈合时间明显短于对照组,差异有统计学意义（P<0.05）;观察组患者感染、导管移位、脱管、接触性皮炎总发生率明显低于对照组,但差异无统计学意义（P>0.05）。结论将贴膜开窗联合纱布换药法运用于PICC置管穿刺点渗液的患者中,可缩短患者穿刺点渗液愈合时间。

关键词: PICC, 穿刺点渗液, 贴膜开窗, 纱布换药, 愈合时间

Abstract: Objective To explore the nursing effect of film fenestration combined with gauze dressing change in PICC puncture point exudate. Methods A total of 40 patients with PICC puncture point exudation in the Department of oncology of the Second Affiliated Hospital of Anhui Medical University from January 2019 to January 2021were selected as the research objects for retrospective study, and they were divided into control group and observation group according to different nursing methods, with 20 cases in each group; The control group was treated with routine nursing, and the observation group was treated with film sticking and window opening combined with gauze dressing change on the basis of the control group. The healing time of puncture point exudation and the incidence of infection, catheter displacement, tube removal and contact dermatitis were compared between the two groups. Results The average healing time of puncture point exudation in the observation group was significantly lower than control group, the difference was statistically significant; The total incidence of infection, catheter displacement, catheter detachment and contact dermatitis in the observation group was significantly lower than control group , the difference was statistically significant. Conclusion The application of film fenestration combined with gauze dressing change in patients with PICC puncture point exudation can shorten the healing time of fluid leakage at the puncture point.

Key words: PICC, puncture point exudation, film fenestration, gauze dressing change, healing time

中图分类号:

R473.5

张德雪, 李小林, 杨锡瑶. 贴膜开窗联合纱布换药法在PICC置管穿刺点渗液中的护理研究[J]. 中华养生保健, 2025, 43(8): 110-113.

ZHANG De-xue, LI Xiao-lin, YANG Xi-yao. Nursing Research on the Application of Film Fenestration Combined with Gauze Dressing Change in PICC Puncture Point Exudate[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(8): 110-113.

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