改良中线导管相关性血栓形成的危险因素分析及对策  

Analysis of risk factors of modified midline catheter-related thrombosis and its countermeasures

作　　者：李平平 李红艳 沈小芳[1] 陈璐[1] 秦学娟 徐妍妍[1] Li Pingping;Li Hongyan;Shen Xiaofang;Chen Lu;Qin Xuejuan;Xu Yanyan(Neurology Department,Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院神经内科,210008

出　　处：《中国实用护理杂志》2021年第30期2346-2352,共7页Chinese Journal of Practical Nursing

基　　金：南京市卫生科技发展项目(ZKX18017);。

摘　　要：目的分析改良中线导管相关性血栓形成的危险因素,并提出对策。方法采用回顾性分析的方法,将2018年2月至2020年7月入住南京大学医学院附属鼓楼医院神经内科病区留置改良中线导管患者分为血栓组9例和非血栓组117例。采用单因素分析和二元Logistic回归分析患者发生导管相关性血栓的危险因素。结果留置改良中线导管的患者血栓发生率为7.14%(9/126)。单因素分析显示,患者发生导管相关性血栓与原发病类型(χ^(2)值为6.331,P<0.05)和导管预处理(χ^(2)值为4.016,P<0.05)有关。多因素分析显示,原发病类型和导管预处理方式的差异均无统计学意义(P>0.05)。结论脑炎患者和0.9%氯化钠预处理导管的血栓发生率较高,在血栓发生前需进行预防性护理,血栓发生后需尽早溶栓治疗。Objective To analyze the risk factors of modified midline catheter-related thrombosis and propose countermeasures.Methods Retrospective analysis was used to divide patients admitted to the neurology department of Nanjing Drum Tower Hospital from February 2018 to July 2020 into thrombotic group(9 cases)and nonthrombotic group(117 cases).Univariate analysis and binary Logistic regression were used to analyze the risk factors for catheter-related thrombosis.Results The incidence of thrombosis was 7.14%(9/126)in patients with modified midline catheters.Univariate analysis showed that the occurrence of catheter-related thrombosis in patients was related to the primary type(χ^(2) value was 6.331,P<0.05)and catheter pretreatment(χ^(2) value was 4.016,P<0.05).Multivariate analysis showed that there was no significant difference between the primary disease type and the catheter pretreatment method(P>0.05).Conclusions The incidence of thrombus in patients with encephalitis and pretreated catheter with normal saline is high,preventive care should be taken before the occurrence of thrombus,and thrombolytic therapy should be taken as soon as possible after the occurrence of thrombus.

关 键 词：静脉血栓形成 导管 留置 危险因素 回顾性研究 

分 类 号：R472[医药卫生—护理学]