Effect of gelatin sponge with"米"-character compression on moderate-to-severe bleeding at the puncture point for peripherally inserted central catheter
NING Chengcheng
LIANG Xaoqing
HUANG Fang
Abstract：Objective To explore the application effect of gelatin sponge with"米"-character compression on moderate-to-severe bleeding at the puncture point for peripherally inserted central catheter(PICC).Methods A total of 60 patients with moderate-to-severe bleeding at the puncture point after PICC catheterization in and out of the hospital(for maintenance)from July 2024 to June 2026 were selected.They were randomly divided into the observation group and control group,with 30 cases in each group.In the control group,patients were treated with routine disinfection,followed by applying sterile gauze that was folded into small squares to cover the puncture point,and self-adhesive elastic bandage wrapping the arm for two cycles.In the observation group,patients were treated with routine disinfection,followed by applying two gelatin sponges on the puncture point,"米"-character compression in avoidance of the catheter using the sterile infusion patch,and self-adhesive elastic bandage wrapping for"八"-character compressed fixation.The degree of bleeding at the puncture point was observed in the two groups within 7 days(starting from the first dressing change of bleeding,dressing was changed according to the degree of bleeding until no bleeding at the puncture site).At the same time,the average maintenance times within one week,the incidence of vascular catheter-related local infection and patient satisfaction were counted.Results Compared with the control group,the improvement of moderate-to-severe bleeding in the observation group was significantly obvious within 7 days(P<0.05).The duration of oozing blood in the observation group was significantly shorter than that in the control group(P<0.05),and the average maintenance times within one week was significantly less than that in the control group(P<0.05).The incidence of catheter-related local infections in the observation group was significantly reduced compared to the control group(P<0.05).The total satisfaction was significantly higher in the observation group than the control group(96.67%vs 76.67%,P<0.05).Conclusion The application of gelatin sponge with"米"-character compression on has a significant effect on moderate-to-severe bleeding at the puncture point for PICC.It effectively reduces the degree of moderate-to-severe bleeding at the puncture point,shortens the duration of bleeding,reduces the average maintenance times within a week,lowers the incidence of vascular catheter-related local infection and promotes patient satisfaction.
Keywords：gelatin spongeperipherally inserted central catheterpuncture pointbleeding
Publication Date：2026-01-26
Online Publishing Date：2026-03-17(First online date of this platform, not the publication date of the document)
Pages：4( 106-109 )