藻酸钙敷料应用于肿瘤患者PICC穿刺点止血的效果观察

摘要

Objective To investigate the effect of calcium alginate dressing on hemostasis of PICC catheter puncture site for cancer patients. Methods Totally 208 cancer patients with PICC were divided into observation group (n=104) and control group (n=104) in accordance with PICC placement sequence number. In observation group, puncture point was first covered by calcium alginate dressings then transparent dressings after hemostasis, but in control group traditional hemostatic gauze and transparent dressing were applied in puncture point before it was fixed by elastic bandage compression for 24 h. The bleeding 48 h after placement and oozing rate of puncture site 72 h after placement were compared in both groups. Results There was less bleeding in observation group 48h later in the dressing (Z=8.796, P=0.000) and the difference between two groups had statistical significance. The oozing rate of observation group was significantly lower than that in control group and the difference was statistically significant (χ²=94.540,P=0.000). Conclusion Calcium alginate dressings benefits the hemostasis of PICC catheter puncture site for cancer patients even without compression bandage, and the healing of the puncture point effectively.%目的：探讨藻酸钙敷料对肿瘤患者PICC穿刺点止血的应用效果。方法选取在超声引导下改良塞丁格技术置入PICC的肿瘤患者208例，按置入PICC顺序号奇偶分为观察组和对照组各104例。 PICC置入成功后，对照组使用无菌纱布放置于穿刺点上方，外覆盖3M透明敷料，并使用弹力绷带加压固定24h。观察组使用藻酸钙敷料放置于穿刺点上方，外覆盖3M透明敷料，无需弹力绷带加压固定。观察比较两组患者置入PICC 48 h末穿刺点出血程度、72 h末渗血发生率。结果观察组置入PICC 48 h 末穿刺点出血程度低于对照组（Z=8.796，P=0.000）；观察组置入 PICC 72 h末渗血发生率低于对照组（χ²=94.540， P=0.000）。结论肿瘤患者PICC穿刺点处使用藻酸钙敷料止血，无需弹力绷带加压包扎固定，止血效果好，有效促进穿刺点愈合，值得推广。