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作 者:董会民 张欣 朱玉欣 尹欣欣 张聪聪 高静芳 DONG Huimin;ZHANG Xin;ZHU Yuxin(Shijiazhuang People’s Hospital,Hebei,Shijiazhuang 050000,China;不详)
机构地区:[1]河北省石家庄市人民医院重症肌无力诊疗中心,050000 [2]河北省石家庄市人民医院肿瘤科二病区,050000 [3]河北省石家庄市人民医院中心静脉导管门诊,050000
出 处:《河北医药》2023年第14期2189-2191,共3页Hebei Medical Journal
基 金:石家庄市科学技术研究与发展指导计划课题(编号:171462153)。
摘 要:目的探讨降低末端瓣膜式高压注射型导管(Power PICC SOLO)堵塞的干预措施。方法回顾性分析2017年3月至2020年2月于石家庄市人民医院住院治疗后置入Power PICC SOLO的100例肿瘤患者的临床资料,根据是否并发导塞堵管分为堵管组(n=13)和未堵管组(n=87),单因素及多因素分析堵管发生的高危因素,根据分析结果制定护理干预措施以降低Power PICC SOLO堵管发生率。结果单因素分析表明,导致导管堵塞的因素包括合并基础疾病、血液反流、导管尖端发生异位、置管长度≥45 cm、留置导管时间≥60 d、导管护理不当、使用高黏性或高刺激性药物、进行联合化疗(P<0.05)。多因素Logistic回归分析表明,合并基础疾病、发生血液反流、置管长度≥45 cm、留置导管时间≥60 d、导管护理不当、使用高黏性或高刺激性药物为堵管发生的独立危险因素(P<0.05)。结论分析Power PICC SOLO发生堵管的危险因素并制定有针对性的干预措施,可降低堵管发生率。Objective To explore the interventions to reduce the plugging of PowerPICC SOLO.Methods Clinical data of 100 tumor patients admitted in the Shijiazhuang People’s Hospital and indwelled with Power PICC SOLO from March 2017 to February 2020 were retrospectively analzyed.According to the complication of plugging,they were divided into plugging group(n=13)and non-plugging group(n=87).High-risk factors for the plugging of PowerPICC SOLO were identified by univariable and multivariable logistic regression.Nursing interventions based on the high-risk factors were given to reduce the incidence of the plugging of PowerPICC SOLO.Results Univariate logistic regression analysis showed that underlying diseases,blood reflux,ectopic catheter,length of indwelling catheter≥45cm,time of indwelling catheter≥60 days,improper care for indwelling catheter,use of highly viscous or highly irritating drugs,combination treatment of chemotherapy were significantly correlated with the plugging of PowerPICC SOLO(P<0.05).Multivariate logistic regression analysis showed that underlying diseases,blood reflux,length of indwelling catheter≥45cm,time of indwelling catheter≥60 days,improper care for indwelling catheter,and the use of highly viscous or highly irritating drugs were independent risk factors for the plugging of PowerPICC SOLO(P<0.05).Conclusion The analysis of riks factors for the plugging of PowerPICC SOLO and interventions made based on them contribute to reduce the incidence of the plugging of PowerPICC SOLO.
关 键 词:肿瘤 末端瓣膜式高压注射型导管 堵管 危险因素 护理
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