Zeng Yinghua, Li Wenji, Li Xiaojin, Ma Lanlan
Department of Breast, Southern Hospital, Southern Medical University, 6th Floor, Digestive Building, No. 1838, Guangzhou Avenue North, Baiyun District, Guangzhou, Guangdong, China.
Comput Math Methods Med. 2022 Oct 3;2022:9380796. doi: 10.1155/2022/9380796. eCollection 2022.
Peripherally inserted central catheter (PICC) is the most commonly used infusion route for chemotherapy in Chinese breast cancer patients because of its convenience, ease of operation, and many maintenance sites.
The objective of this study is to investigate the effect of the first dressing change time on the healing of puncture site and the economic and psychological impact in patients with breast cancer after PICC insertion.
From April 2020 to October 2020, 120 patients with PICC intubation after breast cancer surgery were selected as the research objects and divided into test group and the control group with 60 cases in each group according to the random number table method. The time of the first dressing change in the control group was routinely performed within 24 hours after PICC catheter placement, while the first dressing change in test group was performed at 48 hours after catheter placement. The effect of the first dressing change time after PICC catheterization on patients after breast cancer surgery was compared between the two groups.
There were significant differences between the two groups in the degree of pain after the first dressing change, the degree of oozing at the puncture site within 1 week, the duration of oozing, and the frequency of maintenance within 3 weeks, cost, depression, and anxiety ( < 0.05).
The first dressing change 48 hours after PICC cauterization in patients after breast cancer surgery reduces significantly puncture site bleeding, reduces the frequency of dressing change, and benefits the physical and mental health of patients.
经外周静脉穿刺中心静脉置管（PICC）因其操作方便、易于实施且维护部位多，是中国乳腺癌患者化疗最常用的输液途径。
本研究旨在探讨首次换药时间对乳腺癌患者PICC置管后穿刺部位愈合情况及经济和心理影响。
选取2020年4月至2020年10月乳腺癌手术后行PICC置管的120例患者作为研究对象，按随机数字表法分为试验组和对照组，每组60例。对照组在PICC置管后24小时内常规进行首次换药，试验组在置管后48小时进行首次换药。比较两组PICC置管后首次换药时间对乳腺癌手术后患者的影响。
两组在首次换药后疼痛程度、1周内穿刺部位渗血程度、渗血持续时间、3周内维护次数、费用、抑郁和焦虑方面差异有统计学意义（P<0.05）。
乳腺癌手术后患者PICC置管后48小时进行首次换药可显著减少穿刺部位出血，减少换药次数，有利于患者身心健康。
