肿瘤病人留置PICC致上肢静脉血栓形成的患病率调查  

Survey of prevalence of PICC induced upper limb venous thrombosis in cancer patients

作　　者：成芳[1] 闻曲[1] 鲍爱琴[1] 彭昕[1] 陈莎[1] 刘为红[1] 桂琳君[1] 徐文洁[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院

出　　处：《护理研究（上旬版）》2015年第7期2329-2332,共4页Chinese Nursing Researsh

基　　金：华中科技大学自主创新研究基金重点专项项目;编号:2014LC042

摘　　要：[目的]了解肿瘤病人经外周静脉置入中心静脉导管（PICC）相关性血栓患病率、形成原因和危险因素，为预防和控制肿瘤病人PICC相关性血栓提供参考依据。[方法]采用横断面调查，对2013年3月1日—2日所有留置 PICC 的住院病人进行 B超检查，调查血栓患病率。[结果]2013年3月1日—2日肿瘤中心在院留置PICC病人200例，实际调查198例；发生血栓30例，血栓患病率为15.2%；其中无症状血栓24例（80.0%），有症状性血栓6例（20.0%）；肿瘤病人血栓发生以胸部肿瘤居首位，占23.21%，构成比为43.33%；其次是消化系肿瘤，占21.74%，构成比为33.33%；肿瘤病人血栓发生时间以置管后1月~3月最为多见，构成比达37.33%。[结论]肿瘤病人留置PICC致无症状血栓形成占80.0%，以胸部肿瘤居首位。及早发现血栓前状态，控制血栓的发生发展，可为PICC相关性血栓的预防和控制提供依据。Objective：To know about the prevalence,cause and risk factors of PICC associated thrombus in cancer patients,to provide references for the prevention and control of PICC associated thrombus in cancer patients. Methods：All hospitalized patients with PICC from March 1 in 2013 to march 2 received B ultrasonic examination by a cross sectional survey,and the prevalence of thrombosis was investigated.Results：There were 200 hospi-talized patients with PICC in tumor center from March 1 in 2013 to march 2,among which 198 cases received practical survey and 30 cases had thrombus;the prevalence of thrombosis was 15.2%;the 24 cases had asymp-tomatic thrombus （80.0%）,while 6 cases had the symptomatic thrombus （20.0%）;the thrombus prevalence ranked the first in the chest cancer patients,accounting for 23.21%,the constituent ratio was 43.33%;followed by the digestive system tumors,accounting for 21.74%,and the constituent ratio was 33.33%;the time of most thrombosis in cancer patients was first to the third months after the catheter,and the constituent ratio was 36.67%. Conclusion：The PICC associated asymptomatic thrombosis in cancer patients accounted for 80%,and the preva-lence of thrombus ranked the first in chest cancer patients.To detect the pre thrombosis state as soon as possi-ble and control the occurrence and development of thrombosis can provide the references for the prevention and control of PICC associated thrombus.

关 键 词：肿瘤病人 PICC 静脉血栓 患病率 

分 类 号：R473.73[医药卫生—护理学]