个性化换药在经外周静脉插管的中心静脉导管患者中的应用.pdfVIP

生国塞屈芷理盘盍垫!Q笙!!旦!旦筮2鱼鲞筮!!握上鱼腿￡h也j匦丛坚：照!塑磐b些l墼垫!Q，!尘：堑：奠Q!i!△·43· ·基础护理· 个性化换药在经外周静脉插管的中心静脉导管 患者中的应用 章春芝薛志芳宁风琴李晓媛付伟刘昕 insertedcentral 【摘要】目的探讨肿瘤患者应用经外周静脉插管的中心静脉导管(peripherally catheter，PICC)实施个性化换药的方法。方法根据99例置管患者不同的体质、所处的季节，选择不 同的换药方法，观察穿刺点局部皮肤的颜色及完整性。结果实施个性化换药，99例患者除2例穿刺 点周围皮疹主动要求拔管外，其余未发生局部皮肤感染及深静脉感染。结论实施个性化换药，可降 低局部感染率，延长置管时间，提高患者生存质量。 【关键词】经外周静脉插管的中心静脉导管；个性化；换药方法；感染 of in with ZHANG individualized nCC Chun-：坛XUE2航- Application dressiⅡgchangepatients LIU First fang,NING屁ng-q玩LIXiao·yuan,FU彤eix讥DepartmentofSurgery,theAffdiawdHospital North 075000,China ofHebeiUniversity,Zhan目iakou To of the individualized ontumor 【AImract]Objectivestudyapplication dressingchange patients with MethodsWemade methodsof inaccordancewiththestatusofthe PICC． different dressingchange andthe observedthecolorandthe ofthelocalskinaroundthe patients se呦r坞，and inte画ty puncture Withthe of2 extubationbecauseoftetteronskinaroundthe points．Results exceptionca蝴requested localskininfectionor infectiondidntocCUltintheother97casesindivid- puncturepoint,the systemic by Conclusions rateoflocal of ualized Itc彻reduce￡Ile infection．extendstimecatIleter dressingchange． oflifeof withPICCindividualized tumor retaining,andimprovesquality patients by dressingchange insertedcentral change；Infection [Keywords]Peripherallycatheter；Individualized；Dressing 肿瘤患者常需要4“个周期的静脉化疗辅助治疗，为防