摘要
目的 分析恶性肿瘤患者通过PICC置管后血栓形成后的保管溶栓效果及护理措施。方法 选取2020年10月至2021年11月收治的恶性肿瘤给予PICC置管后血栓形成患者60例，随机分为观察组（肝素帽法）和对照组（三通法）各30例，对比效果。结果 观察组再通率（6h）、舒适度高于对照组（P<0.05）；观察组初次及二次溶栓所用时间、护理操作难度均低于对照组（P<0.05）。结论 肝素帽法保管溶栓在恶性肿瘤患者PICC置管血栓形成后的保管溶栓护理中存在良好效果，利于再通导管，减少拔管率，价值较高。
关键词： 护理措施；PICC置管；保管溶栓；血栓；恶性肿瘤；舒适度
Abstract
Objective To analyze the thrombolytic effect and nursing measures of patients with malignant tumors who undergo PICC catheterization after thrombosis. Methods Sixty patients with malignant tumors treated from October 2020 to November 2021 who underwent PICC catheterization for thrombosis were randomly divided into an observation group (heparin cap method) and a control group (three way method), with 30 patients in each group. The results were compared. Results The recanalization rate (6h) and comfort level of the observation group were higher than those of the control group (P<0.05); The time and difficulty of nursing operations for the first and second thrombolysis in the observation group were lower than those in the control group (P<0.05). Conclusion The heparin cap method has a good effect in the storage and thrombolysis care of malignant tumor patients with PICC catheterization thrombosis, which is beneficial for recanalization and reduces the extubation rate, with high value.
Key words： Nursing measures; PICC tube placement; Storage of thrombolysis; Thrombosis; Malignant tumors; Comfort
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