·护理研究·纱布条加压对PICC术后穿刺点淋巴液渗漏的预防效果*孔灵利,张世佳,李婉晓,陆志红(新乡医学院第一附属医院放射治疗科,河南新乡453100)摘要:目的探讨纱布条局部加压在经外周静脉穿刺置入中心静脉导管(PICC)术后预防穿刺点淋巴液渗漏的效果。方法选取2021年1—12月新乡医学院第一附属医院收治的96例拟行PICC的患者,采用随机数表法分为联合组与敷料组,每组48例。2组患者均于PICC术后行穿刺点3M透明敷料固定,联合组患者加用纱布条局部加压。比较2组患者穿刺点淋巴液渗漏发生率、渗液量以及穿刺上肢肿胀情况。结果联合组患者淋巴液渗漏发生率为12.50%(6/48),低于敷料组的29.16%(14/48),差异有统计学意义(χ2=4.042,P=0.044)。联合组患者中等渗液发生率为0.00%(0/48),低于敷料组的12.50%(6/48),差异有统计学意义(χ2=4.444,P=0.035);联合组患者中无渗液者比例为87.50%(42/48),高于敷料组的70.84%(34/48),差异有统计学意义(χ2=4.042,P=0.044)。联合组、敷料组患者置管后上肢肿胀发生率分别为12.50%(6/48)、8.33%(4/48),差异无统计学意义(χ2=4.447,P=0.504)。结论在敷料固定的基础上给予纱布条局部加压能够降低PICC术后穿刺点淋巴液渗漏风险,减少渗液量,且不会加剧上肢肿胀发生风险。关键词:纱布条;局部加压;经外周静脉穿刺的中心静脉导管;穿刺点;淋巴液渗漏DOI:10.11986/j.issn.1673-873X.2023.03.028中图分类号:R473文献标志码:AEffectoflocalpressurewithgauzestriponpreventionoflymphaticleakageatpuncturesiteafterPICCprocedureKongLingli,ZhangShijia,LiWanxiao,LuZhihong(DepartmentofRadiotherapy,TheFirstAffiliatedHospitalofXinxiangMedicalUniversity,XinxiangHenan453100,China)Abstract:ObjectiveThispaperaimstoexploretheeffectoflocalpressurewithgauzestripsonthepreventionoflymphaticleakageatthepuncturesiteaftertheperipherallyinsertedcentralcatheter(PICC)procedure.MethodsNinety-sixpatientsscheduledforPICCfromJanuarytoDecember2021attheFirstAffiliatedHospitalofXinxiangMedicalUniversitywereran-domlyassignedtotwogroups:thecombinedgroup(n=48)andthedressinggroup(n=48).Bothgroupswerefixedwith3MtransparentdressingatthepuncturesiteafterthePICCprocedure,whilethecombinedgroupwasadditionallytreatedwithlocalpressurewithgauzestrips.Theincidence,andamountoflymphaticleakageatthepuncturesi...
