锁骨下留置中心静脉导管堵塞328例的关联性分析  

Correlation factors of obstruction of central venous catheter indwelled by percutaneous subclavian venipuncture:A report of 328 cases

作　　者：肖熙[1] 邱小芩[1] 胡琼燕[1] 沈茂[1] 陶艳娇 

机构地区：[1]广西壮族自治区人民医院心内科,南宁530021

出　　处：《中国临床新医学》2016年第3期255-258,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨心血管内科患者中心静脉导管(central venous catheter,CVC)堵塞的主要原因。方法对经锁骨下静脉穿刺置CVC的328例冠心病监护病房(coronary care unit,CCU)患者进行回顾性分析。结果 328例留置CVC患者中,47例发生部分堵塞,32例发生完全堵塞,堵塞的发生率为24.09%。性别、年龄、诊断及输液时间与堵管风险无明显关联性(P>0.05),输液速度、置管时间、堵管时输注药物、患者活动、输入液体种类对堵管的发生存在关联性,差异有统计学意义(P<0.05)。结论输液速度、置管时间、输入液体的种类、输入液体的性质、患者活动等因素可增加导管的堵塞风险,注意药物配伍禁忌、控制输液速度,缩短置管时间等可减少导管堵塞的发生。Objective To explore the risk factors of obstruction of central venous catheter（CVC） in patients from the department of cardiovascular diseases. Methods The clinical data were respectively analyzed in 328 pa- tients in coronary care unit（CCU） with percutaneous subclavian indwelling of a CVC. Results The incidence of CVC obstruction was 24. 09% in the patients. Partial obstruction occurred in 47 cases and complete obstruction occurred in 32 cases. There was no correlation between gender, age, diagnosis, infusion time and CVC obstruction（P 〉 0. 05）. There was significant correlation between the infusion speed, indwelling time, types of.infusion liquids, the nature of the infusion liquids, the patient＇s activity and CVC obstruction（P 〈 0. 05）. Conclusion The risk factors of the ob- struction of CVC include the infusion speed, indwelling time, types of infusion liquids, the nature of the infusion liq- uids and the patient＇s activity. Paying more attentions to drug incompatibility, controlling infusion speed and shorten- ing indwelling time can reduce the risks of CVC obstruction.

关 键 词：中心静脉导管 堵塞 相关因素 

分 类 号：R452[医药卫生—治疗学]