《中国成年患者营养治疗通路指南》解读:外周中心静脉导管  

Interpretation of Guidelines for Nutritional Treatment Pathways for Adult Patients in China:peripherally inserted central venous catheter

作　　者：王凯 江华 Wang Kai;Jiang Hua(Institute for Emergency and Disaster Medicine,Department of Acute Care Surgery,Sichuan Provincial People’s Hospital,Sichuan Academy of Medical Science,University of Electronic Science and Technology of China,Sichuan Clinical Research Center for Emergency and Critical Care Medicine,Chengdu 610072 Sichuan China)

机构地区：[1]急诊医学与灾难医学研究所,电子科技大学附属医院·四川省人民医院急诊外科,四川省急危重症临床医学研究中心,成都610072

出　　处：《肿瘤代谢与营养电子杂志》2022年第5期561-565,共5页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：四川省人民医院科研基金(2021ZX01);急救与创伤研究教育部重点实验室开放基金项目(KLET-202104);北京协和医学基金-睿E(睿意)急诊医学研究专项基金(R2021012)。

摘　　要：外周中心静脉导管(PICC)对于肿瘤患者肠外营养治疗及化疗十分重要。中国抗癌协会肿瘤营养专业委员会按照循证医学原则,以当前最佳证据为依据,制订并于2021年7月发布了《中国成年患者营养治疗通路指南》,旨在为患者提供安全有效的PICC建议,促进患者安全应用静脉导管,减少感染、堵塞等并发症,指南编写简明扼要,方便临床医师和护士在临床中使用。本指南根据GRADE方法给出了证据等级,针对PICC如何选择穿刺部位、何种方式引导穿刺、如何维持通畅以及堵塞后怎么治疗等问题,给予了8条推荐意见。本文主要从指南概述、PICC技术、适应证、并发症、推荐意见和证据评估等方面对本指南的主要内容进行解读,为中国成年患者营养治疗过程中PICC的应用提供最新的循证医学证据。Peripherally inserted central venous catheter( PICC) is very important for parenteral nutrition and chemotherapy in patients with carcinoma.In July 2021,Chinese Society of Nutritional Oncology released the Guidelines for Nutritional Therapy Pathways for Adult Patients in China.To provide patients with safe and effective PICC,this guideline is formulated in accordance with the principles of evidence-based medicine and based on the best current evidence.The guidelines are written concisely and easily for clinicians and nurses to use in clinical practice.The guidelines give the level of evidence based on the GRADE,and 8 recommendations on how to choose the puncture site,how to guide the puncture,how to maintain patency,and how to treat after blockage.According to the guideline,it would promote early recovery of patients and reduce catheter-related infection complications.This article mainly introduces and interprets the main contents of this guideline from the aspects of guideline overview,PICC technology,indications,complications,recommendations and evidence evaluation,to provide the latest evidence-based medical evidence for the application of PICC during nutritional therapy in Chinese adult patients.

关 键 词：外周中心静脉导管 肠外营养 区域植入法 并发症 

分 类 号：R459.3[医药卫生—治疗学]