摘要
目的探讨血液净化患儿下肢深静脉置管后血栓形成的危险因素,为血液净化患儿深静脉血栓的预防及护理提供参考依据。方法对2017年1月至2019年11月某儿童医院重症监护室的147例使用股静脉行血液净化患儿的临床资料进行回顾性分析,分析深静脉血栓发生的相关因素,探讨血液净化患儿相关深静脉血栓的预防策略。结果年龄、卧床时间>3 d、深静脉置管留置时间>3 d是血液净化患儿下肢深静脉置管后血栓形成的高危因素(P<0.01或P<0.05)。结论血液净化患儿发生下肢深静脉血栓的概率较大,年龄、卧床时间和深静脉置管留置时间都会影响置管后静脉血栓的发生率。应做好早期干预,通过早期评估、集束化管理等措施减少血液净化患儿深静脉血栓的发生。
Objective To explore the risk factors of thrombosis after deep vein catheterization in children with blood purification,and provide references for the prevention and nursing.Methods A total of 147 children with femoral vein blood purification in intensive care unit(ICU)of a children's hospital from January 2017 to November 2019 were collected for retrospective analysis.The related factors were analyzed and prevention strategies were discussed.Results Age,long time in bed and indwelling time of deep vein catheter more than 3 days were the risk factors of thrombosis after deep vein catheterization in children(P<0.01 or P<0.05).Conclusion Children with blood purification are more likely to experience lower limp deep venous thrombosis.Age,bedtime and indwelling time of deep venous catheter are risk factors of affecting the incidence of venous thrombosis.Early intervention should be done to reduce the incidence of deep vein thrombosis through early assessment and cluster management.
作者
李亚红
蒋文慧
李荣
段茹歌
LI Yahong;JIANG Wenhui;LI Rong;DUAN Ruge(Nursing Faculty,Xi'an Jiaotong University Health Science Center,Xi'an 710061,China;Nursing Department,Xi'an Children's Hospital,Xi'an 710002,China;Pediatric Intensive Care Unit,Xi'an Children's Hospital,Xi'an 710002,China)
出处
《护理管理杂志》
2021年第8期594-597,602,共5页
Journal of Nursing Administration
关键词
血液净化
患儿
下肢深静脉血栓
危险因素
预防
blood purification
children
lower limp deep venous thrombosis
risk factors
prevention
