第二次置入PICC患者导管并发症发生现况及影响因素分析  

Incidence and risk factors of complications in patients with PICC secondary catheterization

作　　者：孙文彦 任赛 刘玮楠[2] 李真 李佳倩 李春燕[4] 霍晓鹏[3] SUN Wenyan;REN Sai;LIU Weinan;LI Zhen;LI Jiaqian;LI Chunyan;HUO Xiaopeng(Department of Clinical Nutrition,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing,100730,China)

机构地区：[1]中国医学科学院北京协和医院临床营养科,北京市100730 [2]中国医学科学院北京协和医院外科,北京市100730 [3]中国医学科学院北京协和医院护理部,北京市100730 [4]北京护理学会

出　　处：《中国护理管理》2025年第3期332-336,共5页Chinese Nursing Management

基　　金：国家自然科学基金面上项目(71974200);中央高水平医院临床科研专项(2022-PUMCH-B-130);北京协和医院院内护理科研课题(XHHLKY202403)。

摘　　要：目的:调查第二次置入PICC患者导管并发症发生现况并分析影响因素,为预防PICC导管相关并发症提供参考。方法:采用便利抽样法,选取2021年8月至2024年3月在北京市某三级甲等医院进行第二次置入PICC的348例患者为研究对象。收集患者一般资料、置管相关信息及留置期间并发症发生情况等数据,采用二元Logistic回归分析并发症的影响因素。结果:98例(28.2%)的第二次置管患者在导管留置期间发生并发症。回归分析结果显示,PICC类型、留置中心静脉导管期间置入PICC导管及吸烟史是导管并发症发生的影响因素(P<0.05)。结论:第二次置入PICC患者导管并发症发生率较高,医护人员应关注此类人群,置管前充分评估患者情况,选择适宜的PICC导管,置管后加强维护与健康宣教。Objective:To investigate the status of complications in patients with PICC secondary catheterization and analyze the influencing factors,so as to provide a reference for the prevention of catheter-related complications.Methods:A convenience sampling method was used to select 348 patients who underwent PICC secondary catheterization in a tertiary grade A hospital in Beijing from August 2021 to March 2024.Patient general information,the catheter related information and complications during indwelling were collected.The influencing factors of catheter-related complications were analyzed by binary Logistic regression.Results:Totally 98 patients(28.2%)with PICC secondary catheterization developed complications during the indwelling of the catheter.Regression results showed that type of PICC,placement of PICC during the indwelling of central venous catheter,smoke were the influencing factors of complications.Conclusion:The incidence of catheter-related complications in patients with PICC secondary catheterization is high.Clinical staff should pay more attention to this group of patients,fully assess the basic situation before catheterization,select appropriate PICC catheters,strengthen maintenance and health education after catheterization.

关 键 词：经外周静脉置入中心静脉导管 第二次置管 并发症 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]