陈维佳

    摘要：目的： 探討卵巢癌患者进行外周静脉置管 (PICC)后，导致堵管原因分析及护理对策。方法： 治疗组患者在进行PICC置管后给予常规护理，对照组则在进行PICC置管前对所有护理人员进行PICC堵管知识和技能的操作培训。比较两组患者进行PICC置管后堵管发生率以及堵管原因分析，给予正确的护理对策。结果： 护理组经过PICC置管堵管只是和技能的操作培训后，堵管发生率为6.7%，对照组堵管发生率为43.3%，护理组的堵管发生率低于对照组，P<0.05。护理组的患者对PICC护理的满意度高于对照组，P<0.05。PICC导管堵塞的原因主要有血液反流、机械性堵管、冲管封管方式错误，其中护理组的导管堵塞次数少于对照组，P<0.05.结论： 对护理人员进行有关PICC堵管知识和技能操作培训，能够有效的降低卵巢癌患者PICC置管后的堵管率，减轻患者的痛苦，提高满意度，值得在临床上推广。

    关键词：卵巢癌；PICC置管；堵管原因

    Abstract： Objective To investigate the causes and nursing strategies of the patients with ovarian cancer after peripheral venous catheter (PICC). Methods the patients in the treatment group were given conventional nursing after PICC intubation， while the control group was trained on the operation and training of PICC on the knowledge and skills of all nursing staff before PICC was performed. To compare the two groups of patients with PICC after tube insertion and the reason analysis ......