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肿瘤化疗患者经外周静脉穿刺中心静脉置管术置管相关并发症危险因素分析及预防 被引量:2

Risk factors for catheterization-related complications in cancer patients receiving chemotherapy undergoing PICC
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摘要 目的探讨肿瘤化疗患者经外周静脉穿刺中心静脉置管术(PICC)置管相关并发症危险因素及其预防护理措施。方法选取2016年3月至2017年3月间山东省青岛市市立医院收治的行PICC置管的318例肿瘤患者,记录患者PICC置管相关并发症发生率,采用单因素及多因素Logistic回归分析,分析患者PICC置管相关并发症危险因素。结果 318例肿瘤化疗PICC置管患者发生置管后相关并发症发生率为19.5%,其中置管相关并发症主要以导管相关性感染为主;单因素分析结果显示,年龄、合并糖尿病、免疫功能低下、置管方式、血栓史、导管管腔数及导管留置时间对患者PICC置管相关并发症有影响,差异均有统计学意义(均P〈0.05)。多因素分析结果显示,免疫功能低下、年龄、导管留置时间及置管方式为影响肿瘤化疗患者PICC置管相关并发症发生的独立危险因素,差异均有统计学意义(均P〈0.05)。结论免疫功能低下、高龄、导管置管时间长及盲穿是肿瘤化疗患者PICC置管相关并发症发生的独立危险因素。 Objective To investigate the risk factors for catheterization-related complications in cancer patients receiving chemotherapy undergoing peripherally inserted central catheter( PICC). Methods A retrospective analysis of clinical data from 318 cancer patients undergoing PICC was conducted at Qingdao Municipal Hospital from March 2016 to March 2017. The incidence of catheterization-related complications was recorded. Using single factor and multi factor Logistic regression analysis,risk factors for catheterization-related complications were analyzed. Results Among the 318 patients,the incidence of catheterization-related complications was 19. 5% and most were catheter-related infection. Single factor analysis showed that age,diabetes mellitus,immune function,catheter type,history of thrombosis,the number of catheter lumen and catheter indwelling time had an influence on PICC catheterization-related complications( all P〈0. 05). The multivariate analysis showed that the immune function,age,catheter indwelling time and catheterization mode were risk factors for catheterization-related complications( all P〈0. 05).Conclusion Low immune function,age,catheter indwelling time and blind indwelling are independent risk factors for catheterization-related complications in cancer patients receiving chemotherapy undergoing PICC.
作者 姚婷婷 孙颖 曲宝君 刘军莉 YAO Ting-ting1 , SUN Ying1 , QU Bao-jun1, LIU Jun-li2 (1. Department of Oncology, Qingdao Municipal Hospital (East Campus), Qingdao 266071, China; 2. Department of Oncology, Qinghai University Affiliated Hospital, Xi'ning 810000, China)
出处 《中国肿瘤临床与康复》 2018年第4期461-464,共4页 Chinese Journal of Clinical Oncology and Rehabilitation
基金 山东省中青年科研基金一般项目(ASKF-2016-YB-01)
关键词 肿瘤化疗 经外周静脉穿刺中心静脉置管术 置管相关并发症 危险因素 预防护理 Chemotherapy Peripherally inserted central catheter Catheterization-relatedeomplications Risk factors Preventive care
作者简介 姚婷婷,女,护师,主要从事肿瘤科护理专业。
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