Objective To explore the improvement the dingle technology through the PICC catheter puncture point elbow hemostatic effect. Selection.Methods Between January 2013 and December 2013, chest hospital affiliated to Shanghai jiaotong university under the guidance of ultrasound improved the Ding Gehang PICC catheter patients of 997 cases were randomly divided into three groups A, B, C, respectively, using gauze pad, calcium alginate wound dressings, calcium alginate wound dressings with hemostatic gauze pad three methods to puncture point, compare the three groups within 48 h after puncture biopsy in patients with some local bleeding, treatment times and catheter after 1 week of the maintenance costs of the catheter.Results compared with A, B two groups, patients of group C tube after 48 hours the puncture point local oppression hemostasis effect is better than that of group A and B, the difference was statisticaly significant (alP < 0.05); Catheter maintenance: group C within 1 week after catheter tube after local lowest maintenance cost. Conclusion PICCfor surgery after the puncture point of oppression hemostasis method choice, the effect of calcium alginate dressings hemostatic gauze pad is better than that of gauze pads and calcium alginate dressings, calcium alginate dressings and gauze pad is more effective and economic, in clinical use.%目的探讨对改良赛丁格技术行经PICC肘上置管穿刺点的止血效果。方法选取2013年1月至2014年12月上海交通大学附属胸科医院超声引导下改良式赛丁格行PICC置管患者997例，随机分为A、B、C三组，分别采用纱布垫、藻酸钙伤口敷料、藻酸钙伤口敷料加纱布垫三种方法进行穿刺点止血，比较三组患者穿刺后48h内穿刺点局部渗血情况、换药次数及置管后1周导管维护费用。结果与A、B两组比较，C组患者置管48 h内穿刺点局部压迫止血效果优于A、B组，差异有统计学意义（均P＜0.05）；导管维护费用：C组置管后1周内的导管局部维护费用最低。结论对PICC置入术后穿刺点压迫止血方法的选择中，纱布垫加藻酸钙敷料的止血效果优于纱布垫和藻酸钙敷料，较藻酸钙敷料和纱布垫更为有效和经济，利于在临床使用。
展开▼
