护理干预对外周置入中心静脉导管置管术后术肢局部皮肤过敏疗效的分析(1)
摘 要：目的 研究护理干预对外周置入中心静脉导管置管术后术肢局部皮肤过敏的疗效。方法 回顾分析2016年3月～2017年10月在我院行外周置入中心静脉导管置管术后术肢局部皮肤过敏的50例患者临床资料，将其随机分为对照组和观察组，每组25例。对照组给予常规护理治疗，观察组在常规治疗基础上给予护理干预，观察对比两组患者有效率及满意度评分。结果 观察组治疗总有效率100.00%，高于对照组84.00%，差异有统计学意义(P<0.05)；观察组患者满意度评分(98.25±0.23)分，高于对照组(79.43±2.62)分，差异有统计学意义(P<0.05)。结论 临床外周置入中心静脉导管置管术后术肢局部皮肤过敏患者，在常规治疗基础上给予护理干预，可有效提高临床治疗效果，提高临床护理满意度，值得临床推广和应用。
关键词：护理干预；PICC置管；局部过敏
中图分类号：R473.75 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.09.058
, http://www.100md.com
文章编号：1006-1959(2018)09-0175-02
Abstract：Objective To study the effect of nursing intervention on postoperative partial skin hypersensitivity after peripherally inserted central catheter.Methods The clinical data of 50 patients with local skin hypersensitivity of limb after central venous catheter insertion in our hospital from March 2016 to October 2017 were analyzed retrospectively.The patients were randomly divided into control group and observation group with 25 cases in each group.The control group was given routine nursing treatment，the observation group was given nursing intervention on the basis of routine treatment，and the effective rate and satisfaction score were observed and compared between the two groups.Results The total effective rate in the observation group was 100.00%，which was higher than that in the control group 84.00%，the difference was statistically significant(P<0.05)；the satisfaction score in the observation group was(98.25±0.23)points，which was higher than that of the control group(79.43±2.62)points，the difference was statistically significant(P<0.05).Conclusion Patients with localized skin allergies in the limbs after clinical peripheral venous catheter placement are given care intervention on the basis of routine treatment，which can effectively improve the clinical treatment effect and improve the clinical nursing satisfaction.It is worthy of clinical promotion and application.
, 百拇医药
Key words：Nursing intervention：PICC catheterization；Local skin allergy
經外周置入中心静脉导管置管(PICC)是临床一种新型适用于中长期静脉输液的护理技术，目前已经广泛应用于临床[1]。但是在临床应用过程中会出现一些并发症，如果临床护理不当，会增加患者的痛苦，甚至造成护理纠纷。PICC术后术肢局部皮肤过敏是常见的并发症，由于过敏体质、汗液刺激、药物毒性、护理不当等原因造成，临床患者表现为皮肤瘙痒、皮疹、水泡等症状，严重时会发生导管性败血症，威胁患者的生命安全[2]。所以，临床对于PICC术后术肢局部皮肤过敏患者，在常规治疗的同时应重视护理干预的作用。本文作者结合临床资料，研究护理干预对PICC术后术肢局部皮肤过敏的疗效，现报告如下。
1资料与方法
1.1一般资料 回顾分析2016年3月～2017年10月在西安交通大学第二附属医院行外周置入中心静脉导管置管术后术肢局部皮肤过敏的50例患者临床资料，本实验经过医院伦理委员会批准。纳入标准：①均符合过敏诊断标准；②所有患者均签署知情同意书。 排除标准：①PICC置管禁忌证；②合并重度心、脑、肾并发症；③患有精神病者；④其他内脏有手术史的者。 将其按数字表法随机分为对照组和观察组，每组25例。对照组男性12例，女性13例；年龄42～76岁，平均年龄(62.10±3.11)岁；其中轻度15例，中度8例，重度2例。观察组患者中男性14例，女性11例；年龄43～74岁，平均年龄(61.87±2.98)岁；其中轻度13例，中度10例，重度2例。两组患者在年龄、性别、病情等基础资料对比，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(王静 刘梅 焦菊凤)
关键词：护理干预；PICC置管；局部过敏
中图分类号：R473.75 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.09.058
, http://www.100md.com
文章编号：1006-1959(2018)09-0175-02
Abstract：Objective To study the effect of nursing intervention on postoperative partial skin hypersensitivity after peripherally inserted central catheter.Methods The clinical data of 50 patients with local skin hypersensitivity of limb after central venous catheter insertion in our hospital from March 2016 to October 2017 were analyzed retrospectively.The patients were randomly divided into control group and observation group with 25 cases in each group.The control group was given routine nursing treatment，the observation group was given nursing intervention on the basis of routine treatment，and the effective rate and satisfaction score were observed and compared between the two groups.Results The total effective rate in the observation group was 100.00%，which was higher than that in the control group 84.00%，the difference was statistically significant(P<0.05)；the satisfaction score in the observation group was(98.25±0.23)points，which was higher than that of the control group(79.43±2.62)points，the difference was statistically significant(P<0.05).Conclusion Patients with localized skin allergies in the limbs after clinical peripheral venous catheter placement are given care intervention on the basis of routine treatment，which can effectively improve the clinical treatment effect and improve the clinical nursing satisfaction.It is worthy of clinical promotion and application.
, 百拇医药
Key words：Nursing intervention：PICC catheterization；Local skin allergy
經外周置入中心静脉导管置管(PICC)是临床一种新型适用于中长期静脉输液的护理技术，目前已经广泛应用于临床[1]。但是在临床应用过程中会出现一些并发症，如果临床护理不当，会增加患者的痛苦，甚至造成护理纠纷。PICC术后术肢局部皮肤过敏是常见的并发症，由于过敏体质、汗液刺激、药物毒性、护理不当等原因造成，临床患者表现为皮肤瘙痒、皮疹、水泡等症状，严重时会发生导管性败血症，威胁患者的生命安全[2]。所以，临床对于PICC术后术肢局部皮肤过敏患者，在常规治疗的同时应重视护理干预的作用。本文作者结合临床资料，研究护理干预对PICC术后术肢局部皮肤过敏的疗效，现报告如下。
1资料与方法
1.1一般资料 回顾分析2016年3月～2017年10月在西安交通大学第二附属医院行外周置入中心静脉导管置管术后术肢局部皮肤过敏的50例患者临床资料，本实验经过医院伦理委员会批准。纳入标准：①均符合过敏诊断标准；②所有患者均签署知情同意书。 排除标准：①PICC置管禁忌证；②合并重度心、脑、肾并发症；③患有精神病者；④其他内脏有手术史的者。 将其按数字表法随机分为对照组和观察组，每组25例。对照组男性12例，女性13例；年龄42～76岁，平均年龄(62.10±3.11)岁；其中轻度15例，中度8例，重度2例。观察组患者中男性14例，女性11例；年龄43～74岁，平均年龄(61.87±2.98)岁；其中轻度13例，中度10例，重度2例。两组患者在年龄、性别、病情等基础资料对比，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(王静 刘梅 焦菊凤)