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目的探讨经外周静脉穿刺中心静脉置管术(PICC)置管后发生静脉血栓的原因及护理干预措施。方法选取采用PICC置管患者60例,随机分为对照组和观察组,对照组术后不采用护理干预,观察组术后实施护理干预,比较两组临床效果。结果对照组静脉血栓发生率为6.7%,观察组为3.3%,观察组明显低于对照组(P<0.05),观察组护理干预质量相对较高。患者形成静脉血栓的发生率比较高。结论从置管成功到最后的拔管,需要采用针对性的护理干预措施,减少发生静脉血栓的概率,提高治疗的质量。
Objective To investigate the causes of venous thrombosis after catheterization of central venous catheterization (PICC) by peripheral venous puncture and its nursing interventions. Methods Sixty patients with PICC catheter were randomly divided into control group and observation group. Nursing intervention was not used in control group after operation. Nursing intervention in observation group was performed after operation, and the clinical effects were compared between the two groups. Results The incidence of venous thrombosis was 6.7% in the control group and 3.3% in the observation group, which was significantly lower in the observation group than in the control group (P <0.05). The quality of nursing intervention in the observation group was relatively high. The incidence of venous thrombosis in patients is relatively high. Conclusion From the successful insertion to the final extubation, targeted nursing interventions are needed to reduce the probability of venous thrombosis and improve the quality of treatment.