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目的探讨置管专项护理干预老年患者PICC置管后预防静脉炎、静脉血栓的效果研究。方法选择2015年1月~2016年10月于我院就诊的120例行PICC置管的老年患者作为研究对象。120例患者随机分为对照组(60例)和试验组(60例)。对照组采取常规护理,试验组采用PICC置管专项护理。探讨置管专项护理干预老年患者PICC置管后预防静脉炎、静脉血栓的效果研究。结果试验组静脉炎发生率(1.67%)低于对照组静脉炎发生率(10.00%);试验组静脉血栓发生率低于对照组(3.33%vs11.67%),差异有统计学意义(P<0.05)。护理干预后,试验组炎症因子MCP-1、TNF-α和IL-6水平较对照组均降低(P<0.05)。护理干预后,试验组D-D和v WF水平较对照组均降低(P<0.05)。护理干预后,试验组无菌操作、基础护理、护理记录、并发症预防、健康教育评分均明显高于对照组(P<0.05)。结论置管专项护理干预对老年患者PICC置管后预防静脉炎、静脉血栓形成效果显著。
Objective To investigate the effect of catheter-specific nursing intervention on the prevention of phlebitis and venous thrombosis after PICC catheterization in elderly patients. Methods From January 2015 to October 2016 in our hospital, 120 patients undergoing PICC catheterization were selected as the study subjects. 120 patients were randomly divided into control group (60 cases) and experimental group (60 cases). The control group to take routine care, the experimental group using PICC catheter care. To investigate the effect of catheterization special nursing intervention on the prevention of phlebitis and venous thrombosis after PICC catheterization in elderly patients. Results The incidence of phlebitis (1.67%) in the experimental group was lower than that in the control group (10.00%). The incidence of venous thrombosis in the experimental group was lower than that in the control group (3.33% vs11.67%) (P <0.05). After nursing intervention, the levels of inflammatory cytokines MCP-1, TNF-α and IL-6 in the experimental group were lower than those in the control group (P <0.05). After nursing intervention, the levels of D-D and v WF in the experimental group were lower than those in the control group (P <0.05). After nursing intervention, the aseptic operation, basic nursing, nursing records, prevention of complications and health education scores of the experimental group were significantly higher than those of the control group (P <0.05). Conclusion The special nursing intervention for the prevention of phlebitis and venous thrombosis in elderly patients with PICC after catheterization is significant.