Observation of the hemostatic effect of balloon compression on the puncture site in cancer patients with peripherally inserted central catheter inserted by modified Seldinger puncture technique
10.3760/cma.j.issn.1672-7088.2016.33.008
- VernacularTitle:气囊压迫法用于肿瘤患者行改良赛丁格技术PICC穿刺点止血效果的观察
- Author:
Ying ZHOU
;
Yubo CHENG
- Keywords:
Neoplasms;
Catheterization,peripheral;
Hemostasis;
Errhysis;
Balloon comprssion
- From:
Chinese Journal of Practical Nursing
2016;32(33):2591-2593
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the hemostatic effect of balloon compression on the puncture site in cancer patients with peripherally inserted central catheter (PICC) inserted by ultrasound-guided modified Seldinger technique (MST). Methods Between October 2015 to January 2016, 50 cancer patients who accepted PICC inserted by ultrasound-guided MST were assigned into test group and control group respectively according to the admission time.Each group contained 25 cases. Balloon compression method was used to stop bleeding of the puncture point in the test group, while bandage compression hemostasis adopted in the control group. Results The incidence of bleeding on puncture site in the last 24 h of PICC placement was 28% (7/25) in the test group, while 68% (17/25) in the control group, and there were statistical differences between the groups (Z=-2.653,P<0.01). The incidence of bleeding on puncture site in 24-72 h of PICC placement was 16% (4/25) in the test group, while 36% (9/25) in the control group, and the difference had statistical significance (Z=-1.679,P>0.05). The incidence of limb swelling or numbness in the test group was 8% (2/25),which was lower than 32% (8/25) in the control group, and the difference had statistical significance (χ2=4.5,P < 0.05). Conclusions Balloon compression method can reduce the bleeding ratio of puncture site in cancer patients with PICC inserted by ultrasound-guided MST,and can relieve limb swelling or numbness .It is simple and safe in operation and can be easily accepted by the patients .
