中心静脉通路装置对血管的损伤及预防的研究进展  

Research progress on damage and repair of blood vessels by central venous access devices

作　　者：张莉莉[1] 赵立民[2] 唐华英[2] 容桂容 韦荣庆[1] Zhang Lili;Zhao Limin;Tang Huaying;Rong Guirong;Wei Rongqing(Emergency Department of Affiliated Hospital of Guilin Medical University,Guilin 541001,China;Nursing Department of Ajfiliated Hospital of Guilin Medical Universitv,Guilin 541001,China;Injection Room of Affiliated Hospitdl of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院急诊科,541001 [2]桂林医学院附属医院护理部,541001 [3]桂林医学院附属医院注射室,541001

出　　处：《中国实用护理杂志》2020年第33期2632-2636,共5页Chinese Journal of Practical Nursing

基　　金：广西高校中青年教师基础能力提升项目(2017KY0486)。

摘　　要：临床上中心静脉通路装置(CVAD)广泛应用于输注静脉高营养液、化疗药物和快速输液、输血等,CVAD长时间留置于患者的血管里,虽然在静脉治疗中有一定的优势,但是也存在与之相关的风险,近20年来有很多研究关注CVAD对血管损伤的机制,试图从不同的角度在病理生理这一微观的层面探讨其机制。本文将从CVAD置管对血管的急性损伤与留置导管引起的慢性改变、CVAD对血管损伤的原因以及预防CVAD置管引起血管损伤的研究这三个方面进行综述,旨在为临床静脉治疗提供参考。The central venous access device(CVAD)is widely used in infusion of intravenous high nutrient solution,chemotherapy drugs,rapid infusion,blood transfusion,etc.CVAD is left in the patient′s blood vessels for a long time,although it has certain advantages in intravenous therapy,but also risks associated with it.In the past 20 years,many studies have focused on the mechanism of CVAD on vascular injury,trying to explore its mechanism from a different perspective at the microscopic level of pathophysiology.This article will review the three aspects of acute damage to the blood vessel caused by CVAD catheterization and chronic changes caused by indwelling catheters,analysis of the causes of vascular injury caused by CVAD catheterization,and research on preventing vascular injury caused by CVAD catheterization,aiming at providing reference for clinical intravenous therapy.

关 键 词：中心静脉 血管通路装置 血管损伤 修复 

分 类 号：R472[医药卫生—护理学]