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基于智能医疗区块链的消化系统恶性肿瘤患者 PICC 导管相关并发症的预防与护理研究。

Prevention and Nursing Research of PICC Catheter-Related Complications in Patients with Digestive System Malignant Tumor Based on Smart Medical Block Chain.

机构信息

Gastrointestinal Surgery, The Central Hospital of Wuhan, Tongji Medical College Huazhong University of Science and Technology, Wuhan 430000, Hubei, China.

出版信息

J Healthc Eng. 2021 Apr 12;2021:5519722. doi: 10.1155/2021/5519722. eCollection 2021.

DOI:10.1155/2021/5519722
PMID:33953896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8057877/
Abstract

Malignant tumors of digestive system mainly include gastric cancer, colorectal cancer, and esophageal cancer, which generally need chemotherapy. PICC refers to peripherally inserted central venous catheter, which plays an important role in the treatment of malignant tumor patients with chemotherapy, and it has the characteristics of high success rate of puncture and reducing the pain of patients. Its principle is to use PICC catheter for drug delivery, which can effectively reduce the pain of tumor patients for multiple puncture, and also can avoid drug extravasation or local stimulation of drugs. However, PICC catheter-related complications cannot be ignored, to some extent, directly affect the treatment effect of patients, and increase the pain and burden of patients. Therefore, this paper proposes a study of PICC catheter-related complications and protective nursing for patients with digestive system cancer based on smart medical block chain. First of all, using the method of literature, this paper deeply studied the combination of smart medicine and block chain and further strengthened the research on PICC catheter-related complications. Based on this, we designed a study on the prevention and nursing of PICC catheter-related complications in patients with digestive system cancer. Before the implementation of nursing, the incidence of complications in patients with digestive system cancer was 17.35%; after the implementation of nursing, the incidence of complications decreased to 4.08%. The purpose of this study is to analyze the causes through clinical research and put forward the protective nursing measures of related diseases, so as to reduce the incidence of PICC-related complications.

摘要

消化系统恶性肿瘤主要包括胃癌、结直肠癌和食管癌,这些肿瘤通常需要化疗。PICC 是指外周静脉置入中心静脉导管,在恶性肿瘤化疗患者的治疗中起着重要作用,具有穿刺成功率高、减轻患者疼痛的特点。其原理是通过 PICC 导管给药,可以有效减轻肿瘤患者多次穿刺的疼痛,还可以避免药物外渗或药物局部刺激。但不容忽视的是,PICC 导管相关并发症会在一定程度上直接影响患者的治疗效果,增加患者的痛苦和负担。因此,本文提出了基于智能医疗区块链的消化系统癌症患者 PICC 导管相关并发症及防护性护理的研究。首先,本文通过文献研究法,深入研究了智能医学与区块链的结合,进一步加强了对 PICC 导管相关并发症的研究。在此基础上,设计了消化系统癌症患者 PICC 导管相关并发症的预防与护理研究。在护理实施前,消化系统癌症患者并发症发生率为 17.35%;护理实施后,并发症发生率降低至 4.08%。本研究旨在通过临床研究分析其发生原因,并提出相关疾病的防护性护理措施,以降低 PICC 相关并发症的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c44/8057877/59e16be112e1/JHE2021-5519722.007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c44/8057877/59e16be112e1/JHE2021-5519722.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c44/8057877/ea6d03ac312a/JHE2021-5519722.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c44/8057877/71e254061383/JHE2021-5519722.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c44/8057877/5dff19daa230/JHE2021-5519722.003.jpg
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