静脉治疗小组对急性重症胰腺炎患者picc置管及护理中的影响

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1、静脉治疗小组对急性重症胰腺炎患者PICC置管及护理中的影响蒋桂芝刘涛刘茜四川省绵阳市屮心医院四川绵阳621000A的.•探讨病区静脉治疗小组对提高急性重症胰腺炎患者PICC置管及维护的重要作用。方法：选取病区5年工龄以上的护士2〜3名，到上级医院进行PICC置管及维护等知识的培训，组成科内静脉治疗小组，实行PICC专人维护管理。将成立前后一年内采用PICC置管的急性重症胰腺炎患者分为两组：（1）静脉治疗小组成立后采用PICC置管组（实验组）；（2）静脉治疗小组组成立前采用PICC置管组（对照组）。对所有急性重症胰腺炎患者PICC置管操作时间、穿刺成功率、

2、留置时间、并发症的发生率等进行比较，并进行统计学处理。结果：静脉治疗小组成立后的相同时间内置管操作时间、置管成功率、留置时间、并发症的发生率都明显优于小组成立前（P<0.05）。结论：成立静脉治疗小组对PICC置管患者进行规范管理，可提高置管技术水平、减少并发症，显著提高PICC护理质量。【关键词】PICC置管；静脉治疗小组；并发症【屮图分类号】R473B1674-8999（2015）8-0405-02[Abstract]Objective：oexploretheimportanceofthewardintravenoustreatmentteamtoi

3、mprovePICCcatheterofsevereacutepancreatitispatientsanditsimportantroleinnursingMethod：Selectmorethan5yearslengthofservice,wardnurse2〜3,tothesuperiorhospitalPICCcatheterandmaintenanceknowledgetraining,branchveinintreatmentgroup,theusmspecialistmaintenancemanagement.SelectTwoorthre

4、enurseswhoselengthofservicearemorethan5yearstothesuperiorhospitalPICCcatheterandmaintenanceknowledgetraining,thenSetuptheintravenoustreatmentteamwithindepartment,TheimplementationofPICCforspecialmaintenanceandmanagement.AyearbeforeandaftertheteamwasfoundedbyPICCcatheterofsevereac

5、utepancreatitispatientsintotwogroups:(1)AfterintravenoustherapygroupwasfoundedbyPICCcathetergroup(experimentalgroup)；(2)BeforetheestablishmentoftheintravenoustreatmentteamwithPICCcathetergroup(controlgroup).ForallpatientswithacuteseverepancreatitisPICCcathetertime,successrateofpu

6、ncture,theindwellingtimeandtheincidenceofcomplicationsarecompared,andthedataforstatisticalprocessing.Results:afterintravenoustherapygroupwasfoundedthesuccessrateofPICCcathetertime,catheter,theindwellingtimeandtheincidenceofcomplicationsweresignificantlybetterthanbeforetheestablis

7、hmentofthegroup(P<0.05).Conclusion：theestablishmentoftheintravenoustreatmentteamcanundertakespecificationmanagementinpatientswithPICCcatheter,canimprovethelevelofcathetertechnology,reducethecomplications,improvePICCnursingquality.【Keywords】PICCcatheter;Intravenoustreatmentgrou

8、p;complicationsPICC是一种经肘前外周静脉穿刺置入中心静脉处的导