肿瘤患者PICC导管相关性血栓形成的相关因素分析  

Risk factors of peripherally inserted central catheter-related thrombosis in cancer patients

作　　者：张丽 陆箴琦 陆海燕 薛嵋 张晓菊 Zhang Li Lu Zhenqi Lu Haiyan Xue Mei Zhang Xiaoju.(Nursing Department, Fudan University Shanghai Cancer Center, Shanghai 200032, Chin)

机构地区：[1]复旦大学附属肿瘤医院护理部/复旦大学上海医学院肿瘤学系,上海200032

出　　处：《护理学杂志》2017年第14期51-55,共5页Journal of Nursing Science

基　　金：复旦大学护理科研基金(FNF201514)

摘　　要：目的探讨肿瘤患者PICC导管相关性血栓形成的相关因素。方法对1 030例PICC带管肿瘤患者进行上肢静脉超声检查并分析临床资料。结果 PICC带管肿瘤患者PICC导管相关性血栓发生率为5.44%;其中无症状血栓占76.79%,有症状血栓占23.21%。肠外营养的使用、导管相关并发症、高血压、带管时间、年龄>60岁5个因素对血栓的发生有显著影响(P<0.05,P<0.01)。结论 PICC导管相关性血栓临床表现多数无症状,PICC导管相关性血栓形成的风险因素较多,需针对风险因素进行预警管理干预,以降低其发生率。Objective To explore risk factors of peripherally inserted central catheter （PICC）-related thrombosis in cancer patients. Methods Upper extremities of 1 030 cancer patients who underwent PICC placement were examined by Doppler ultrasound and clinical data of these patients were collected. Results The incidence rate of PICC-related thrombosis in cancer patients was 5.44%, with asymptomatic thrombosis accounting for 76.79% and symptomatic events accounting for 23. 21%. Parenteral nutrition administration, PICC-related complications, hypertension, duration of PICC placement, age greater than 60 years were associated with PICC-related thrombosis （P〈0.05, P〈0. 01）. Conclusion Asymptomatic PICC-related thrombosis is more common and PICC-related thrombosis is caused by several factors. It is necessary to take targeted measures to reduce the incidence.

关 键 词：肿瘤 PICC 导管相关性血栓 肠外营养 置管时间 导管相关并发症 高血压 

分 类 号：R472.1[医药卫生—护理学]