解痉活血酊外敷预防PICC静脉炎的临床观察

目的 观察解痉活血酊外敷预防PICC静脉炎的效果.方法 将173例接受PICC置管患者随机分为对照组、观察1组、观察2组.置管后,观察1组用自制解痉活血酊外敷于穿刺点及周围皮肤上;观察2组采用安普帖薄膜固定中心静脉导管;对照组使用3M透明敷料固定中心静脉导管.三组病例的换药方法均遵照中心静脉导管维护常规进行,观察时间均为自穿刺日后4周.观察三组病例的PICC置管相关性静脉炎发生情况.结果 观察1组发生PICC置管相关性静脉炎1例(1.8％),观察2组2例(3.4％),对照组8例(13.8％).观察1组与观察2组比较差异无统计学意义(P＞0.05);观察1组、观察2组分别与对照组比较差异均有统计学意义(P＜0.05).结论 解痉活血酊对PICC静脉炎有很好的预防作用,且价格低廉,值得推广.

The clinical observation of Jiejinghuoxueding external application in preventing PICC phlebitis

Objective To observe the effect of Jiejinghuoxueding external application in preventing PICC phlebitis.Methods 173 patients with PICC catheter were randomly divided into control group and observation group 1,observation group 2.After catheter,observation group 1 was treated with Jiejinghuoxueding external application on the puncture point and surrounding skin;ample post film fixed central venous catheter in observation group 2;3M transparent dressings fixed central venous catheter in control group.The other treatment methods of three groups were in accordance with maintenance routine.PICC catheter related phlebitis were observed in 4 weeks since the puncture.Results There was 1 case (1.8％) of PICC related phlebitis in observation group 1,2 cases (3.4％) in observation group 2,8 cases (13.8％) in control group.There was no statistically significant difference in the incidence of PICC related phlebitis between observation group 1 and observation group 2 (P＞0.05),statistically significant differences between observation group 1,2 and control group (P＜0.05).Conclusion Jiejinghuoxueding has very good effect in preventing PICC phlebitis,with low price,worthy of clinical promotion.