Effects of different gauze folding patterns on local hemostasis after peripherally inserted central catheters

Q4 Nursing 中华临床营养杂志 Pub Date : 2018-08-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.04.011

Li-Shuang Zhao, Shaomei Wang, Lei Zhao, Zhi-hua Zhang

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Abstract

Objective To observe the effects of two different gauze folding patterns used in local hemostasis after peripherally inserted central catheters (PICC). Methods A total of 152 patients were selected and divided into two groups according to PICC date sequence as control group of 72 patients using 2.0 cm×2.0 cm little gauze to oppress the puncture point and observation group of 80 patients using 1.0 cm×1.5 cm gauze ball made by ourselves to oppress the puncture point. The oozing of the puncture point was observed in patients of the two groups. Results The hemostasis was better in the observation group than in the control group(χ2=15.88, P<0.01). No limb swelling happened to the patients in the observation group(χ2=58.064, P<0.01). There was statistically significant difference in hemostatic effect between the two groups. Conclusion The sterile gauze ball made by ourselves has a good effect on local hemostasis through oppressing the puncture point without any impact on blood circulation of limbs. Key words: Peripherally inserted central catherter; Sterility gauze ball; Local hemostasis

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不同纱布折叠方式对中心导管外周置入术后局部止血的影响

目的观察两种不同的纱布折叠方式在中心置管术后局部止血中的应用效果。方法选取152例患者，按PICC日期顺序分为两组:对照组72例，使用2.0 cm×2.0 cm小纱布压迫穿刺点;观察组80例，使用自行制作的1.0 cm×1.5 cm纱布球压迫穿刺点。两组患者穿刺点均有渗血现象。结果观察组患者止血效果优于对照组(χ2=15.88, P<0.01)。观察组患者无肢体肿胀发生(χ2=58.064, P<0.01)。两组止血效果比较，差异有统计学意义。结论自制无菌纱球通过压迫穿刺点局部止血效果好，不影响四肢血液循环。关键词:外周中心导管;无菌纱球;局部止血

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.