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目的研究血液透析中应用永久性深静脉留置导管的临床护理方法及效果。方法 42例接受血液透析永久性深静脉留置导管患者随机分为观察组和对照组,各21例。对照组患者给予常规护理,观察组患者在对照组基础上给予综合性护理干预,观察两组患者的静脉留置导管时间和并发症发生率。结果经过分组护理后,观察组患者的静脉留置导管时间明显长于对照组患者静脉留置导管时间,两组比较差异具有统计学意义(P<0.05);观察组患者并发症发生率(9.52%)明显低于对照组患者并发症发生率(19.05%),两组并发症发生率比较,差异具有统计学意义(P<0.05)。结论血液透析中应用永久性深静脉留置导管时给予综合性护理干预,静脉导管留置时间较长,可帮助患者减少穿刺的痛苦,且减少并发症的发生,具有良好的效果,值得临床推广。
Objective To study the clinical nursing methods and effect of permanent deep venous catheter in hemodialysis. Methods Forty-two patients undergoing hemodialysis permanent deep venous catheterization were randomly divided into observation group and control group, with 21 cases in each group. Patients in the control group were given routine nursing care. Patients in the observation group were given comprehensive nursing intervention on the basis of the control group. The incidence of indwelling catheter time and complications in the two groups were observed. Results The time of intravenous catheterization in the observation group was significantly longer than that in the control group after the group nursing. The difference between the two groups was statistically significant (P <0.05). The incidence of complications in the observation group (9.52%) was significantly Comparing with the control group, the complication rate was lower (19.05%). There was significant difference between the two groups in complication rate (P <0.05). Conclusions The hemodialysis in the application of permanent deep vein indwelling catheter given comprehensive nursing intervention, catheter indwelling longer, can help patients reduce the pain of puncture, and reduce the incidence of complications, with good results, is worth clinical promotion.