Efficacy of alginate versus medical tissue glue in the hemostatic treatment of peripherally inserted central catheter puncture on liver cirrhosis with upper gastrointestinal bleeding
Objective To observe of efficacy of alginate versus medical tissue glue in the hemostatic treatment of peripherally inserted central catheter(PICC)puncture on liver cirrhosis with upper gastrointestinal bleeding.Methods Sixty-eight patients with liver cirrhosis with upper gastrointestinal bleeding who were hospitalized in the Department of Gastroenterology of our hospital from March 2022 to May 2023 were selected and divided into a control group(n=34,alginate dressing at the PICC puncture point)and a study group(n=34,medical tissue glue at the PICC puncture point).The blood leakage,dressing changes,catheter displacement,local infection,and satisfaction rate were evaluated in the both groups.Results After catheterization,the incidence of blood leakage in the study group was significantly lower than that of the control group(5.88％[2/34]vs 91.18％[31/34],P＜0.05).The number of dressing changes within 3 days after catheterization in the study group was significantly less than that in the control group(t=6.351,P=0.017).The number of dressing changes within 24 hours and 24-72 hours after catheterization was significantly reduced compared to the control group(P＜0.05).After catheterization,the catheter displacement rate(2.94％[1/34]vs 11.76％[4/34])and local infection rate(5.88％[2/34]vs 23.53％[8/34])in the study group were significantly lower than those of the control group(P＜0.05).The satisfaction rate of the research group was significantly higher that of the control group(97.06％[33/34]vs 82.35％[28/34],P＜0.05).Conclusion Compared to alginate dressings,medical tissue glue can more effectively prevent hemostatic AT PICC puncture point in liver cirrhosis and upper gastrointestinal bleeding,reduce the number of dressing changes after catheterization,avoid catheter displacement,reduce the risk of local infection,and improve patient satisfaction.It is worthy of clinical promotion.
alginate dressingmedical tissue glueliver cirrhosisupper gastrointestinal bleedingperipherally inserted central catheterhemostasis
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