论文部分内容阅读
目的观察半卧位预防气管切开患者PICC颈内静脉异位的效果。方法将56例气管切开患者运用随机数字表法分为实验组和对照组,每组各28例,对于实验组患者在置入PICC导管15 cm时抬高床头使患者处于半卧位体位,并在锁骨上方压迫同侧颈内静脉,对于对照组患者在置入PICC导管后仅在锁骨上方压迫同侧颈内静脉,不做体位处理,比较两组患者导管颈内静脉异位的发生率和患者的护理满意度。结果实验组患者发生PICC颈内静脉异位的概率是0,对照组患者发生PICC颈内静脉异位的概率是14.3%(4例),实验组患者的导管颈内静脉异位发生率远低于对照组患者,其差异经统计计算有统计学意义(P<0.05)。结论对于气管切开的患者,采取半卧位可以有效的预防导管颈内静脉异位的发生,并提升护理满意度,值得推广。
Objective To observe the effect of semi-recumbent on prevention of PICC internal carotid venous in patients with tracheotomy. Methods Fifty-six patients with tracheotomy were randomly divided into experimental group and control group with 28 cases in each group. For the experimental group, when the PICC catheter was placed 15 cm, the head of the bed was raised to make the patient in a semi-recumbent position, And the ipsilateral jugular vein was pressed over the supraclavicular bone. For the control group, the ipsilateral jugular vein was pressed only above the supraclavicular bone after placement of the PICC catheter, and no postural treatment was performed. The incidence of catheter internal jugular vein was compared between the two groups And patient satisfaction with the care. Results The incidence of PICC in the experimental group was 0, and the incidence of PICC in the control group was 14.3% (4 cases). The incidence of ectopic cervical jugular vein in the experimental group was much lower In the control group, the difference was statistically significant (P <0.05). Conclusion For patients with tracheotomy, the use of semi-recumbent position can effectively prevent the occurrence of catheter jugular venous ectopic and improve nursing satisfaction, which is worth promoting.