经股静脉置入PICC堵管现状及影响因素分析  

The incidence of occlusion of peripherally inserted central catheters placed through the femoral vein and its risk factors

作　　者：唐迎迎 徐文婷 王丽萍 曹秀珠[2] 端烨 陈一丹 周娜[2] 赵林芳 Tang Ying-ying;Xu Wenting;Wang Liping;Cao Xiuzhu;Duan Ye;Chen Yidan;Zhou Na;Zhao Linfang(Department of Nursing,Medical College of Shihezi University,Shihezi 832003,China)

机构地区：[1]石河子大学医学院护理系,新疆石河子832003 [2]浙江大学医学院附属邵逸夫医院 [3]浙江中医药大学护理学院

出　　处：《护理学杂志》2023年第6期55-58,共4页Journal of Nursing Science

基　　金：2022年浙江省卫生健康科技计划项目(2022ZH035)。

摘　　要：目的了解经股静脉置入PICC堵管现状及其影响因素,为开展相关护理措施提供参考。方法回顾性分析241例经股静脉置入PICC患者临床资料,经单因素和logistic回归分析发生导管堵管的影响因素。结果24.07%患者发生了导管堵管,回归分析结果显示,导管堵管的独立危险因素为伴有导管脱出、首次置管、经常行走以及导管类型为耐高压材质(均P<0.05)。结论经股静脉置入PICC堵管发生率较高,临床实践中应加强关注导管堵管的独立风险因素,并开展针对性干预或相关健康教育,降低堵管发生率。Objective To assess the current status of the occlusion of peripherally inserted central catheter(PICC)placed through the femoral vein,and analyze its influencing factors,so as to provide reference for related nursing measures.Methods The clinical data of 241 patients with femoral vein PICC were retrospectively analyzed,and the influencing factors of catheter blockage were analyzed by univariate and logistic regression.Results Of the patients,24.07%had catheter blockage.The results of regression analysis showed that the independent risk factors for catheter blockage included catheter dislodgement,first-time catheterization,frequent walking,and the type of PICC(power versus non power injectable)(all P<0.05).Conclusion The incidence of occlusion of PICC placed through the femoral vein is high.In clinical practice,we should pay more attention to the independent risk factors of catheter blockage,and carry out targeted intervention or related health education to reduce the incidence of catheter blockage.

关 键 词：经外周置入中心静脉导管 股静脉 静脉输液 堵管 并发症 血栓 导管脱出 

分 类 号：R472.9[医药卫生—护理学]