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目的探讨乳腺癌术后化疗患者夏季深静脉穿刺置管的护理方法改进。方法 54例乳腺癌需长期行深静脉穿刺置管患者,采用区组随机化分组法将其分为对照组和观察组,每组27例。对照组给予常规敷料进行覆盖和固定,观察组在常规护理方法的基础上进行改进。对比两组患者导管感染相关并发症发生率、换药间隔时间和导管留置时间。结果观察组导管感染相关并发症发生率(11.11%)低于对照组(44.44%),差异具有统计学意义(P<0.05)。观察组患者换药间隔时间明显短于对照组、导管留置时间明显长于对照组,差异均具有统计学意义(P<0.05)。结论夏季在乳腺癌患者深静脉穿刺置管护理中通过合理运用分叉纱布,聚维酮碘中心滴加以及纱布固定、覆盖等方式有助于提高护理效果,降低穿刺导管相关感染发生率,缩短换药间隔时间,延长导管留置时间,临床价值值得肯定。
Objective To study the nursing improvement of summer deep venous catheterization in postoperative chemotherapy of breast cancer patients. Methods 54 cases of breast cancer required long-term deep venous catheterization. Patients were divided into control group and observation group using randomized block method of grouping, 27 cases in each group. The control group was given conventional dressings to cover and fix, and the observation group was improved on the basis of routine nursing methods. Comparing the incidence of catheter-related complications, dressing interval and catheter indwelling time between the two groups. Results The incidence of catheter-related complications in observation group (11.11%) was lower than that in control group (44.44%), the difference was statistically significant (P <0.05). Patients in the observation group were significantly shorter than the control group, and catheter indwelling time was significantly longer than the control group, the difference was statistically significant (P <0.05). Conclusion In summer, nursing care of patients with breast cancer through deep venous catheterization through the rational use of fork gauze, povidone iodine center and gauze fixed, covering and other ways to help improve the nursing effect, reduce the incidence of catheter-related infections and shorten Dressing interval, extended catheter indwelling time, the clinical value deserves to be affirmed.