置入中心静脉导管的胸部手术患者术后发生导管相关性血栓的影响因素  

Influencing factors for the occurrence of postoperative catheter-related thrombosis in patients undergoing thoracic surgery with central venous catheter implantation

作　　者：宋楚茵[1] 梁熠 马小玲[1] 罗玉华[1] 应燕萍[2] SONG Chuyin;LIANG Yi;MA Xiaoling;LUO Yuhua;YING Yanping(Department of Thoracic Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;Hospital Office,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院胸外科,广西南宁市530021 [2]广西医科大学第一附属医院医院办公室,广西南宁市530021

出　　处：《广西医学》2023年第3期281-284,295,共5页Guangxi Medical Journal

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2021111)。

摘　　要：目的探讨置入中心静脉导管(CVC)的胸部手术患者术后发生导管相关性血栓(CRT)的影响因素。方法选取410例行胸部手术治疗且置入CVC的患者作为研究对象,按照术后是否发生CRT分为血栓组和无血栓组。比较两组患者的一般资料和CVC留置时间。采用多因素Logistic回归模型分析置入CVC的胸部手术患者术后发生CRT的危险因素。结果410例患者中,CRT发生率为38.0%(156/410)。两组患者的性别、手术方式、咳痰难易度及CVC留置时间差异均有统计学意义(均P<0.05)。多因素Logistic回归分析结果显示,CVC留置时间、咳痰难易度是置入CVC的胸部手术患者术后发生CRT的独立影响因素(均P<0.05)。结论置入CVC的胸部手术患者术后CRT发生率较高,CVC留置时间长及咳痰困难的患者术后发生CRT的风险增加。Objective To explore the influencing factors for the occurrence of postoperative catheter-related thrombosis(CRT)in patients undergoing thoracic surgery with central venous catheter(CVC)implantation.Methods A total of 410 patients undergoing thoracic surgery and inserting CVC were selected as the research subjects,and they were assigned to thrombosis group or non-thrombosis group according to the presence of CRT occurrence.The general data and CVC indwelling time were compared between the two groups.The risk factors for the occurrence of postoperative CRT in patients undergoing thoracic surgery with CVC implantation were analyzed by the multivariate Logistic regression model.Results The incidence rate of CRT was 38.0%(156/410)among 410 patients.There were statistically significant differences in genders,surgical methods,difficulty of expectoration,and CVC indwelling time between the two groups(all P<0.05).The results of multivariate Logistic regression analysis revealed that CVC indwelling time,difficulty of expectoration were the independent influencing factors for the occurrence of postoperative CRT in patients undergoing thoracic surgery with CVC implantation(all P<0.05).Conclusion The incidence rate of postoperative CRT in patients undergoing thoracic surgery with CVC implantation is relatively high,and the patients with longer CVC indwelling time and difficulty of expectoration are at an increased risk for the occurrence of postoperative CRT.

关 键 词：导管相关性血栓 胸部手术 中心静脉导管 影响因素 

分 类 号：R619[医药卫生—外科学]