冲管频次对双腔耐高压经外周置入中心静脉导管连接输液泵持续化疗期间并发症的影响.pdf

·1916· 临床护理·基础护理 冲管频次对双腔耐高压经外周置入中心静脉导管 连接输液泵持续化疗期间并发症的影响 李爱敏 孙巧枝 张莹 郑烨 史小丽 张琪 【摘要】 目的 探讨在双腔耐高压经外周置入中心静脉导管（PICC ）连接输液泵持续泵入化疗药 物期间，不同冲管频次对PICC 并发症的影响。方法 将 160 例双腔耐高压PICC 连接输液泵持续泵入 化疗药物的恶性淋巴瘤患者按照随机数字表法分为4 组，每组40 例：A 组每4 小时冲管 1 次；B 组每8 小时冲管1 次；C 组每12 小时冲管1 次；D 组每24 小时冲管1 次。观察4 组导管堵塞、静脉炎发生率。 结果 采取不同的冲管频次对双腔耐高压PICC 连接输液泵持续化疗期间导管堵塞发生率不同：A 组为0 ；B 组为2.5% （1/40）；C 组为27.5% （11/40）；D 组高达42.5% （17/40），组间比较差异有统计学 ２ 意义， 字 =30.870 ，P ＜0.01 ；4 组患者静脉炎发生率比较差异无统计学意义，P ＞0.05 。结 双腔耐高 压PICC 连接输液泵持续化疗期间应严格执行每8 小时冲管 1 次，既降低了导管堵塞的发生率，又 未增加静脉炎的发生率，值得临床推广应用。 【关键词】 药物疗法，联合；冲管频次；双腔耐高压经外周置入中心静脉导管；输液泵；并 发症 Effect of wash pipe frequency on complications of double蛳 lumen power peripherally inserted central catheter connected to infusion pump during continuous chemotherapy * Li Aimin, Sun Qiaozhi , Zhang * Ying, Zheng Ye, Shi Xiaoli, Zhang Qi. Department of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China Corresponding author: Sun Qiaozhi, Email ：sqz1981@126.com [Abstract] Objective To explore the effect of wash pipe frequency on complications of double蛳lumen power peripherally inserted central catheter (PICC) connected to infusion pump during continuous chemotherapy. Methods A total of 160 patients with malignant lymphoma whose PICC connected to infusion pump were divided into 4 groups by random digits table method with 40 cases each: flushing and sealing the tube once every 4 hours(group A), every 8 hours(group B), every 12 hours(group C) and every 24 hours (group D). The incidence of blocking pipe and phlebitis were observed. Results The incidence of blocking pipe were 0,2.5%(1/40) , 27.5%(11/40), 42.5%(17/40) in group A, B, C,