| 岳朝丽,汤雅洁,史笑,王艳丽,刘扣英.改良植入方式在手臂输液港置管中的应用[J].上海护理,2024,24(6): |
| 改良植入方式在手臂输液港置管中的应用 |
| Application of Improved Implantation Method in Catheter Placement in Arm Infusion Port |
| 投稿时间：2023-06-21 修订日期：2024-06-02 |
| DOI： |
| 中文关键词: 手臂输液港 植入 腔内心电图 囊袋制作 疼痛 |
| 英文关键词:Arm Port Implantation Electrocardiograhy Bag making Pain |
| 基金项目:江苏省人民医院2021年度临床能力提升工程护理项目 |
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| 中文摘要: |
| 目的 探讨改良植入方式在手臂输液港置管中的应用效果。方法 采用便利性抽样，选取南京市某三级甲等医院87例恶性肿瘤患者，2020年3月—2022年6月收治的45例患者作为试验组，采用改良植入方式置管，即于静脉穿刺点处做2 cm横行切口后制作囊袋放入输液港座，完成置管；2019年6月—2020年2月收治42例放置手臂输液港的患者作为对照组，采用传统方式置管，即在穿刺点下方3.5 cm处做2 cm横行切口制作囊袋放入输液港座，完成置管；比较两组患者输液港座放置用时、术中囊袋下导管打折例次、术中疼痛评分和术后皮下淤血等指标。结果 试验组输液港座放置用时（212.49±11.35）s低于对照组（296.02±7.24）s；试验组术中疼痛评分（1.02±0.54）分低于对照组为（1.62±0.58）分；两组组间差异均有统计学意义（P＜0.05）。试验组术中囊袋下导管打折例次5次低于对照组12次；试验组有2例皮下淤血低于对照组8例，两组组间差异均有统计学意义（P＜0.05）。结论 改良植入方式能够缩短手臂输液港港座放置用时，降低导管打折及皮下淤血的发生率，降低疼痛，提高患者满意度。 |
| 英文摘要: |
| Objective To explore the application effect of improved implantation method in arm infusion port. Methods Using convenience sampling, 87 patients with malignant tumors in a class III class a hospital in Nanjing were selected, and 45 patients admitted from March 2020 to June 2022 were used as the experimental group. The improved implantation method was used to place the tube, that is, a 2 cm transverse incision was made at the venipuncture point, and then the bag was made and placed in the infusion port seat to complete the tube placement; From June 2019 to February 2020, 42 patients who were placed in the arm infusion port were treated as the control group, and the tube was placed in the traditional way, that is, a 2 cm transverse incision was made at 3.5 cm below the puncture point to make a bag and put it into the infusion port seat to complete the tube placement; The time of placing the infusion port seat, the number of cases of discount of the catheter under the bag during the operation, the pain score during the operation and the subcutaneous congestion after the operation were compared between the two groups. Results The time of placing the infusion port seat in the experimental group was (212.49±11.35) s lower than that in the control group (296.02±7.24) s; The intraoperative pain score of the experimental group (1.02±0.54) was lower than that of the control group (1.62±0.58); The difference between the two groups was statistically significant (P < 0.05). In the experimental group, the intrathecal catheter was broken for 5 times, which was lower than that in the control group for 12 times; Subcutaneous congestion in 2 cases in the experimental group was lower than that in 8 cases in the control group, and there was significant difference between the two groups (P ＜0.05). Conclusion The improved implantation method can shorten the placement time of the arm infusion port seat, reduce the incidence of catheter discount and subcutaneous congestion, reduce pain, and improve patient satisfaction. |
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