摘要目的 探讨防止置管术后发生不良反应的敷料选取及能有效防止老年患者PICC管脱出的固定方法.方法 将62例PICC置管术后的老年血液肿瘤病患者随机分为两组,实验组31例,用我科现已推行使用的敷料美皮康(有边型)及3条输液贴法进行固定;对照组31例,用普通贴膜进行常规换膜固定.结果 实验组31例患者仅有1例出现针眼周围发红现象,1例出现皮肤过敏现象,无静脉炎及脱出现象发生,显效率和有效率明显高于对照组,差异有统计学意义(P＜0.01或P＜0.05).结论 使用敷料美皮康(有边型)及3条输液贴进行固定不但简洁美观,而且能减少老年患者PICC置管后发生不良反应的几率,有效防止PICC管脱出,值得在临床护理中推广应用.

abstractsObjective To study the choice of dressing to prevent adverse effects of PICC and effective fixing methods to prevent PICC emersion in elderly patients. Methods 62 elderly post-PICC invasion patients with hematological tumor were randomized into two groups. 31 cases in experimental group were given Mepilex border and three-adhesive band fixing; 31 cases in control group were given routine dressing and fixing.Results Compared to the control, only one out of 31 patients in experimental group suffered skin rushing around puncture point and one had skin hypersensitivity (P ＜ 0.01 or P ＜ 0.05 ). No phlebitis and emersion occurred in experimental group. Conclusions It was sententious and beautiful to use Mepilex border. It might reduce the adverse effects of PICC invasion in elderly patients and effectively prevent PICC emersion.