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目的:探讨外周静脉置管(PICC)在造血干细胞移植患者中的应用与护理。方法:选择2011年1月至2014年1月中山市人民医院收治64例造血干细胞移植的患者。根据不同静脉插管方式,分为对照组30例和观察组34例。对照组给予常规静脉穿刺,而观察组则接受PICC置管治疗。比较两组患者导管流速、导管置留时间、置管并发症的发生情况以及治疗后的负面情绪评分。结果:观察组导管流速、导管置留时间、置管并发症发生率以及治疗后的负面情绪评分均显著低于对照组,组间比较,差异具有统计学意义(P<0.05)。结论:在造血干细胞移植中应用PICC置管和护理措施干预,可以延长导管留置时间,减少置管并发症的发生,显著改善患者的负面情绪评分。
Objective: To investigate the application and nursing of peripheral vein catheterization (PICC) in patients with hematopoietic stem cell transplantation. Methods: From January 2011 to January 2014, Zhongshan People’s Hospital admitted 64 patients with hematopoietic stem cell transplantation. According to different venous intubation, divided into control group of 30 cases and observation group of 34 cases. The control group received routine venipuncture, while the observation group received PICC catheterization. The catheter flow rate, catheter stay time, incidence of catheter complications and negative emotion score after treatment were compared between the two groups. Results: The catheter flow rate, catheter stay, incidence of catheter complications and the negative emotion score after treatment were significantly lower in the observation group than in the control group. The differences between the two groups were statistically significant (P <0.05). Conclusion: The application of PICC catheterization and nursing intervention in hematopoietic stem cell transplantation can prolong catheter indwelling time, reduce the incidence of catheter complications and significantly improve the negative emotion score of patients.