摘要
目的探讨血透患者中心静脉置管血栓形成相关因素及预防措施。方法随机选择127例行中心静脉置管的血透患者,分析患者采用中心静脉置管的血栓发生情况与置管位置、成功置管的穿刺次数及置管后的留置时间。结果血栓形成与置管位置的关系,股静脉为置管通路时形成血栓的的概率较高为22.22%,高于颈内动脉、锁骨下动脉置管血栓发生率,差异有统计学意义(P<0.05);血栓发生率与置管时间的关系,当留置时间小于1个月,血栓发生率为0.00%;留置时间为1~3个月,血栓发生率为1.69%;留置时间大于3个月,血栓发生率为8.11%,差异有统计学意义(c2=4.287,P=0.029)。穿刺次数>3次的患者血栓发生率明显高于穿刺次数较少的患者,差异有统计学意义(c2=4.360,P=0.042)。结论留置时间越长,穿刺次数越多血透患者发生血栓的概率就越高;同时穿刺位置也会形象血透患者血栓的发生率,值得临床参考。
Objective To explore the related factors and preventive measures of central venous catheter thrombosis in hemodialysis patients.Methods127patients with central venous catheterization were selected.The incidence of thrombosis in patients with central venous catheter and the location of catheter placement,the number of successful catheterization and indwelling time were analyzed after catheterization.Results The relationship between thrombosis and position of catheter and femoral vein catheter pathway that formed when the high probability of thrombosis was22.22%,higher than the internal carotid artery,subclavian artery catheter thrombosis(P<0.05);the relationship between the incidence of thrombosis and catheter indwelling time,when the time was less than1month,thrombosis rate was0.00%;the indwelling time was1-3months.The thrombosis rate was1.69%;the indwelling time of more than3months,the incidence rate of thrombosis was8.11%(χ2=2.287,P=0.029).The incidence of thrombosis was higher than that of puncture times in the number of times of puncture(χ2=4.360,P=0.042).Conclusion The longer the indwelling time,the higher the number of puncture,the higher the probability of the occurrence of thrombosis in patients with hemodialysis,and the location of the puncture would also show the incidence of thrombosis in hemodialysis patients,which was worthy of clinical reference.
作者
李菁华
吴卫东
黄建华
张琳
邵晓维
Li Jing-hua;WuWei-dong;Huang Jian-hua;Zhang Lin;Shao Xiao-wei(Department of Nephrology,The Third People's Hospital of Jiujiang,Jiujiang,Jiangxi,332000,China;Department of Vascular Surgery,The Third People's Hospital of Jiujiang, Jiujiang, Jiangxi, 332000, China;Jiangxi Provincial Bureau of Geology and mineral resources in Northwest Jiangxi Geological Hospital of Jiujiang,Jiujiang, Jiangxi, 332000, China;Department of Nursing,The Third People's Hospital of Jiujiang, Jiujiang, Jiangxi, 332000, China)
出处
《当代医学》
2017年第18期3-5,共3页
Contemporary Medicine
基金
江西省卫生计生委科技计划项目(20177110)
关键词
血透患者
血栓形成
中心静脉置管
Hemodialysis patients
Thrombosis
Central venous catheterization
