摘要
目的分析肿瘤患者经外周静脉穿刺中心静脉(PlCC)置管后并发静脉血栓(VT)的原因,探讨预防VT的护理对策。方法选取2016年1月~2017年9月我院收治的100例肿瘤患者作为研究对象,观察患者VT形成情况,并分析引起VT的原因,同时针对原因提出相应的护理对策。结果100例肿瘤患者中,并发VT20例(20.00%),其中血管原因、置管技术、疾病原因显著高于管道维护不当、药物原因,差异有统计学意义(P<0.05)。Logistic回归分析显示,血管原因、置管技术、疾病原因属于肿瘤患者PlCC置管后并发VT的原因(P<0.05)。针对原因采取相应护理对策后,VT的发生率由20.00%降至3.00%(P<0.05)。结论血管原因、置管技术、疾病原因均是引起肿瘤患者PlCC置管后并发VT的原因,针对原因采取恰当的护理对策,可延长PlCC置管的使用寿命,改善患者的预后水平。
Objective To analyze the causes of venous thrombosis (VT) after peripheral venipuncture central venous catheterization (PlCC) in cancer patients, and to explore the nursing strategies to prevent VT. Methods A total of 100 cases of cancer patients admitted to our hospital from January 2016 to September 2017 were selected as research objects. The situation of VT was observed, the causes of VT were analyzed, and the corresponding nursing countermeasures were put forward. Results Among the 100 patients, 20 (20.00%) were complicated with VT. The causes of blood vessel, catheterization technology and disease were significantly higher than those of improper maintenance of pipeline and medication (P<0.05). Logistic regression analysis showed that the causes of blood vessel, catheterization technology and disease were all the causes of VT after PICC catheterization in cancer patients (P<0.05). The incidence of VT decreased from 20.00% to 3.00%(P<0.05). Conclusion Vascular causes, catheterization techniques and disease causes are the causes of VT after PlCC catheterization in cancer patients. Appropriate nursing measures can prolong the service life of PlCC catheterization in cancer patients and improve the prognosis of patients.
作者
何兴
丁燕
张文欢
HE Xing;DING Yan;ZHANG Wen-huan(Department of Hematology and Oncology, Huizhou First People′s Hospital, Guangdong Province, Huizhon 516001, China)
出处
《中国当代医药》
2019年第24期235-237,共3页
China Modern Medicine
