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目的探讨水胶体敷料+PVP碘治疗经外周中心静脉穿刺(PICC)置管穿刺部位感染患者的效果。方法选取2014年9月-2015年12月医院PICC置管穿刺部位感染患者216例,依据随机数表法分为观察组和对照组,比较两组患者的临床疗效、疼痛分级及红肿消退时间、感染治愈时间。结果观察组总有效率为98.15%;对照组总有效率为76.85%,差异有统计学意义(P<0.05),观察组患者疼痛分级:0级90例占83.33%,1级13例占12.04%,2级及以上5例占4.63%;对照组患者疼痛分级:0级66例占61.11%,1级29例占26.85%,2级及以上13例占12.04%,差异有统计学意义(P<0.05);观察组患者红肿消退时间、感染治愈时间分别为(2.13±0.52)d、(8.15±2.04)d;对照组患者红肿消退时间、感染治愈时间分别为(3.67±0.74)d、(13.96±2.45)d,差异有统计学意义(P<0.05)。结论水胶体敷料联合PVP碘治疗PICC置管穿刺部位感染成效显著,能够明显改善患者红肿、疼痛等临床症状,值得临床推广。
Objective To investigate the effect of hydrocolloid dressing + PVP iodine in the treatment of patients infected by peripherally inserted central venipuncture (PICC). Methods Totally 216 patients with PICC catheter puncture site infection from September 2014 to December 2015 were divided into observation group and control group according to the random number table method. The clinical efficacy, pain grading and redness and remission time were compared between the two groups. Infection healing time. Results The total effective rate in the observation group was 98.15%. The total effective rate in the control group was 76.85%, the difference was statistically significant (P <0.05). The pain scores of the observation group were 90.0% for grade 0, 12.3% for grade 1 and 13.04% %, Grade 2 and above 5 cases accounted for 4.63%; pain score of control group patients: 0 grade 66 cases accounted for 61.11%, grade 1 29 cases accounted for 26.85%, grade 2 and above 13 cases 12.04%, the difference was statistically significant ( (2.13 ± 0.52) d and (8.15 ± 2.04) d, respectively. The control group had a significantly longer time to recover from the redness and the time to cure the infection was (3.67 ± 0.74) d, respectively (13.96 ± 2.45) d, the difference was statistically significant (P <0.05). Conclusion The hydrocolloid dressing combined with PVP iodine treatment of PICC catheter puncture site infection significantly, can significantly improve the patient’s symptoms such as redness, pain, is worth clinical promotion.